STACEY NOEL BOOMER

SPOKANE, WA
NPI1790835932
Former NameSTACEY NOEL ROBERTS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10005143)
Enumeration Date2007-01-11
Last Update Date2022-01-27
Business Address
STACEY NOEL BOOMER PA-C
322 W NORTH RIVER DR
SPOKANE, WA 99201-3208
Phone number: 509-324-6464
Mailing Address
STACEY NOEL BOOMER PA-C
322 W NORTH RIVER DR
SPOKANE, WA 99201-3208
Phone number: 509-324-6464
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