Individual
STACY JO PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 60239038
Contact information
Practice address
1112 FINNEGAN WAY, BELLINGHAM, WA 98225-6622
(360) 527-9566
(360) 527-8534
Mailing address
1112 FINNEGAN WAY, BELLINGHAM, WA 98225-6622
(360) 527-9566
(360) 527-8534
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 60239038
WA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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