Individual
STACY CLIREHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 ORCA PL NE, TACOMA, WA 98422-4502
(253) 208-3919
Mailing address
5402 ORCA PL NE, TACOMA, WA 98422-4502
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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