Individual
STACEY JO DOWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
529 E BROADWAY AVE, STE B, MOSES LAKE, WA 98837-1723
(509) 855-1180
Mailing address
601 S PIONEER WAY, SUITE F - PMB-332, MOSES LAKE, WA 98837-4801
(509) 855-1180
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00022357
WA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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