Individual
HAYLEY JESSICA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 32ND ST, ANACORTES, WA 98221-3305
(360) 630-7412
Mailing address
1403 32ND ST, ANACORTES, WA 98221-3305
(360) 630-7412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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