Individual
CESSALIE RICHELLE STALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1708 YAKIMA AVE, STE 100, TACOMA, WA 98405-5307
(253) 627-9151
(253) 591-8892
Mailing address
1708 YAKIMA AVE, STE 100, TACOMA, WA 98405-5307
(253) 627-9151
(253) 591-8892
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143239
STATE L&I
WA
01
—
0143240
STATE L&I
WA
05
—
8374217
—
WA
01
—
8930016
STATE CRIME VICTIMS
WA
Enumeration date
08/10/2006
Last updated
02/22/2008
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