Individual
GINA STAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2539 SIMON LN NE, OLYMPIA, WA 98506-3553
(360) 786-0257
Mailing address
2539 SIMON LN NE, OLYMPIA, WA 98506-3553
(360) 786-0257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020313
WA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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