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Renee Charise Probst, LMP
Specialist in University Place, Washington
NPI 1114066990

Renee Charise Probst is a Specialist based in Puyallup, WA. Renee Charise Probst practices in University Place, WA and has the professional credentials of LMP. The NPI Number for Renee Charise Probst is 1114066990 and holds a License No. MA17907 (Washington).

The current practice location address for Renee Charise Probst is 4103 Bridgeport Way W Ste C, University Place, WA and can be reached out via phone at 253-460-1824 and via fax at 253-460-1920.

Location: 4103 Bridgeport Way W Ste C, University Place, WA, 98373-0017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114066990
Provider Name
Renee Charise Probst
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
4103 Bridgeport Way W Ste C, University Place, WA, 98373-0017
Phone Number
253-460-1824
Fax Number
253-460-1920
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4103 Bridgeport Way W Ste C
City
University Place
State
Washington
Zip
98466-4332
Phone Number
253-460-1824
Fax Number
253-460-1920
person
Provider Business Mailing Address Details
Address
4103 Bridgeport Way W Ste C
City
University Place
State
Washington
Zip
98466-4332
Phone Number
253-460-1824
Fax Number
253-460-1920
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA17907 (Washington)
Definition
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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