STACIE GRACE GRAGE

BURIEN, WA
NPI1134473010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00033122)
Enumeration Date2012-10-31
Last Update Date2012-10-31
Business Address
Mrs. STACIE GRACE GRAGE LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 206-433-2125
Mailing Address
Mrs. STACIE GRACE GRAGE LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 206-433-2125
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