Individual
PENNY K STOKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
840 NE FAIRGROUNDS RD, BREMERTON, WA 98311-8744
(360) 471-9086
Mailing address
840 NE FAIRGROUNDS RD, BREMERTON, WA 98311-8744
(360) 471-9086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00024006
LMP
WA
Enumeration date
06/16/2007
Last updated
07/08/2007
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