Most Relevant Information
Provider Data
| NPI Number: | 1003385501 |
| Provider Name: | MICHELE MBUTE |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2018 |
| Last Updated: | 11/14/2018 |
Provider Practice Location
4210 20TH ST E STE B&C
FIFE
WA
984241830
Practice Location Phone/Fax
| Phone: | 2532355216 |
| Fax: | 2539441750 |
Provider Mailing Location
4210 20TH ST E STE B&C
FIFE
WA
984241830
Provider Mailing Phone/Fax
| Phone: | 2532355216 |
| Fax: | 2539441750 |