Individual
HATTIE MARIE STIGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 NE 139TH ST APT 298, VANCOUVER, WA 98686-2314
(360) 991-6755
Mailing address
2406 NE 139TH ST APT 298, VANCOUVER, WA 98686-2314
(360) 991-6755
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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