Individual
JULIE ANN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SOUTH ALDER AVE, GRANITE FALLS, WA 98252
(360) 739-2851
(360) 691-7264
Mailing address
6427 221ST AVE NE, GRANITE FALLS, WA 98252-9396
(360) 739-2851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011788
WA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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