Individual
PROF. JENNIFER STAR STEADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 WYNOOCHE AVE W, MONTESANO, WA 98563-4210
(360) 580-1043
Mailing address
1402 WYNOOCHE AVE W, MONTESANO, WA 98563-4210
(360) 580-1043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022898
WA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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