Individual
MS. STEPHANIE JEAN HEMENWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
209 W MAIN AVE., MORTON, WA 98356
(360) 496-6196
(360) 496-5457
Mailing address
PO BOX 22, MORTON, WA 98356
(360) 496-6196
(360) 496-5468
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60153160
WA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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