Individual
JEFFERY STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-3950
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN00124594
WA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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