Individual
ANDREA ROSE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
19 N 7TH ST, CHENEY, WA 99004-2220
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60799938
WA
Other
Enumeration date
06/08/2016
Last updated
06/11/2019
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