Individual
MRS. ANGELA MARIE STOUDERMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9195 SHADOWCREST LN NW, BREMERTON, WA 98311-4508
(360) 621-0449
Mailing address
9195 SHADOWCREST LN NW, BREMERTON, WA 98311-4508
(360) 621-0449
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
05/17/2022
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