Individual
DEBRA STOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 S GARDEN DR, MOSES LAKE, WA 98837-2330
(509) 765-2587
Mailing address
1008 S GARDEN DR, MOSES LAKE, WA 98837-2330
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
233933
WA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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