Individual
STEPHANIE MCCLYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 YAKIMA AVE STE 203, TACOMA, WA 98405-5300
(253) 382-8150
Mailing address
1708 YAKIMA AVE STE 203, TACOMA, WA 98405-5300
(253) 382-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60978202
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2148826
—
WA
Enumeration date
08/20/2018
Last updated
09/21/2022
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