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Individual

STACY BERTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
6603 220TH ST SW STE C-1, MOUNTLAKE TERRACE, WA 98043-2186
(425) 776-1056
Mailing address
125 N NYDEN FARMS RD, LAKE STEVENS, WA 98258-9705
(425) 290-6024
(425) 776-4357

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018581
WA

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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