Individual
MS. MELISSA KIMBERLY STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
17912 65TH DR NW, STANWOOD, WA 98292-8972
(425) 350-0770
Mailing address
17912 65TH DR NW, STANWOOD, WA 98292-8972
(425) 350-0770
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
0011B
WA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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