Individual provider · Type 1 NPI

Melissa Jo Tetreault

Specialist · Everett, WA

NPI number 1487793790 Active

Practice location

303 91st Ave NE, Suite E504
Everett, WA 98205-1541

Call (425) 334-6258 Map

Fax (425) 334-1187

Mailing address

11009 69th St NE
Lake Stevens, WA 98258-2047

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00017810 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487793790

Melissa Jo Tetreault's National Provider Identifier is 1487793790, issued on Feb 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Everett, WA. The record was last updated on Jul 8, 2007.