Individual
STEVIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
723 MLK JR WAY, TACOMA, WA 98405
(253) 383-4447
(253) 383-7574
Mailing address
723 MLK JR WAY, TACOMA, WA 98405
(253) 383-4447
(253) 383-7574
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PS60607244
WA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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