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NPI Code Detail

MEDICARE: MRS. MARY MARGARET BERUBE EAMP

MEDICARE: MRS. MARY MARGARET BERUBE EAMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistACUP.AC.70064958WA

General Provider Information

NPI Number : 1407707581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY MARGARET BERUBE EAMP
Provider Business Mailing Address
First Line : 1732 99TH AVE SE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-1971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1406 E PINE ST
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4032
Country : US
Telephone Number : 206-466-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ MRS. MARY MARGARET BERUBE EAMP” Practice Location

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