Individual
STEPHANIE LOIS LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1700
(253) 968-3885
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(808) 778-3203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-11706
HI
2084P0804X
Child & Adolescent Psychiatry Physician
11706
HI
Other
Enumeration date
11/08/2005
Last updated
06/29/2020
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