Individual
STEPHANIE WEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8862 BENDER RD, SUIT 101, LYNDEN, WA 98264-8800
(360) 354-1115
(360) 354-0321
Mailing address
8862 BENDER RD, SUIT 101, LYNDEN, WA 98264-8800
(360) 354-1115
(360) 354-0321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60450749
WA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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