Individual
STACI RENEE MURRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26567 222ND AVE SE, MAPLE VALLEY, WA 98038-7406
(425) 999-7080
(425) 433-8786
Mailing address
PO BOX 1258, MAPLE VALLEY, WA 98038-1258
(425) 999-7080
(425) 433-8786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602485950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC 60493789
DEPARTMENT OF HEALTH
WA
Enumeration date
01/16/2016
Last updated
01/16/2016
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