Individual
MS. STACY ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
3976 EAST HARBOR ROAD, LANGLEY, WA 98260
(360) 221-2050
(844) 318-5726
Mailing address
PO BOX 82318, KENMORE, WA 98028
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60904743
WA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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