Individual
DR. DEANNA MARIE STOLTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16205 131ST AVENUE CT E, PUYALLUP, WA 98374-9248
(253) 841-5975
Mailing address
16205 131ST AVENUE CT E, PUYALLUP, WA 98374-9248
(253) 841-5975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00022577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00022577
STATE LICENSE
WA
Enumeration date
01/29/2007
Last updated
07/08/2007
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