Individual
STACY MARIE SUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1700
(206) 842-4765
Mailing address
PO BOX 2509, POULSBO, WA 98370-0963
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
00005657
WA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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