Individual
JODY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 943-8977
Mailing address
7701 W 4TH AVE APT J105, KENNEWICK, WA 99336-8543
(425) 736-3910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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