Individual
MRS. GENA LYNN STAHLECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14716 NE 160TH AVE, BRUSH PRAIRIE, WA 98606-4904
(360) 787-3110
Mailing address
14716 NE 160TH AVE, BRUSH PRAIRIE, WA 98606-4904
(360) 787-3110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60536913
WA
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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