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Individual

KATHERINE B STANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4430
(253) 968-2252
Mailing address
15910 42ND AVENUE CT E, TACOMA, WA 98446-3090
(703) 895-9130

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
0024176295
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP61076635
WA

Other

Enumeration date
10/19/2018
Last updated
07/12/2024
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