Individual
MICHELLE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 BROADWAY, EVERETT, WA 98201-5033
(425) 385-5254
Mailing address
3900 BROADWAY, EVERETT, WA 98201-5033
(425) 385-5254
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60106856
WA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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