Individual
VERONICA STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER GI CLINIC 9040A JACKSON AVE, TACOMA, WA 98431-0001
(425) 350-5899
Mailing address
7720 73RD PL NE, MARYSVILLE, WA 98270-6559
(425) 350-5899
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60156338
WA
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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