Individual
MS. STEFANEE ROSE VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1820 BLACK LAKE BLVD SW STE 103, OLYMPIA, WA 98512-5619
(360) 943-7665
(360) 357-4880
Mailing address
PO BOX 4031, TUMWATER, WA 98501-0031
(360) 943-7665
(360) 357-4880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013243
WA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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