Individual
MRS. STACY LYNN CARGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
240 N C ST, BUCKLEY, WA 98321-8044
(360) 829-6162
(253) 829-3391
Mailing address
PO BOX 1976, BUCKLEY, WA 98321-1976
(360) 829-6162
(253) 829-3391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00031720
WA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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