Individual
KRISTEN NICOLE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19701 NE 399TH ST, AMBOY, WA 98601-3236
(360) 247-5857
Mailing address
27510 NE ROTSCHY MILL RD, YACOLT, WA 98675-5307
(360) 980-2149
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
61016815
WA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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