Individual
MICHAEL STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16011 92ND AVE E, PUYALLUP, WA 98375-9691
(425) 344-6358
Mailing address
16011 92ND AVE E, PUYALLUP, WA 98375-9691
(425) 344-6358
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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