Individual
STACEY BRETCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7563 COX ST NE, MOSES LAKE, WA 98837-9243
(509) 899-8900
Mailing address
71 G STREET NORTH EAST, EPHRATA, WA 98823
(509) 899-8900
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10077088
WA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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