Individual
STACY PEDEGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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