Individual
FELICIA STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 304-7753
(253) 302-8493
Mailing address
7972 MAPLE AVE SE, SNOQUALMIE, WA 98065
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
01/25/2019
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