Individual
KRISTINE K STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4569 LYNWOOD CENTER RD NE STE 12, BAINBRIDGE IS, WA 98110-2242
(206) 780-9121
(206) 780-8899
Mailing address
4569 LYNWOOD CENTER RD NE STE 12, BAINBRIDGE IS, WA 98110-2242
(206) 780-9121
(206) 780-8899
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00006376
WA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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