Individual
PAUL STANELY NUTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5742
Mailing address
11321 N ASTOR RD, SPOKANE, WA 99218-1605
(509) 466-6722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
163W00000X
Registered Nurse
RC00058261
WA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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