Individual
STEPHANIE TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 577-2463
Mailing address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 577-2463
(360) 501-1954
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00157408
WA
Other
Enumeration date
04/13/2017
Last updated
01/26/2023
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