Individual
STACY SWANSON-CRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 2ND ST SE, PUYALLUP, WA 98372-3220
(253) 770-3589
Mailing address
302 2ND ST SE, PUYALLUP, WA 98372-3220
(253) 770-3589
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049412
WA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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