Individual
STACY LYNN QUEZADA DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12406 E DESMET AVE, SPOKANE VALLEY, WA 99216-2996
(509) 688-0147
Mailing address
24104 S HORSE HAVEN LN, CHENEY, WA 99004-5103
(970) 978-5329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61452970
WA
Other
Enumeration date
01/15/2025
Last updated
05/15/2025
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