Individual
JEANNIE MOORE STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
UW LABORATORY MEDICINE NW120, 1959 PACIFIC STREET, BOX 357110, SEATTLE, WA 98195-7110
(615) 579-3042
Mailing address
UW LABORATORY MEDICINE NW120, 1959 PACIFIC STREET, BOX 357110, SEATTLE, WA 98195-7110
(615) 579-3042
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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