MELINDA MAE MANTOOTH

MOUNT VERNON, WA
NPI1639708175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  DO217033)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  OP61477654)
Enumeration Date2020-04-06
Last Update Date2023-10-17
Business Address
MELINDA MAE MANTOOTH DO
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115
Mailing Address
MELINDA MAE MANTOOTH DO
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115