STACEY JEAN IWANIEC

SEATTLE, WA
NPI1831427012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: WA  st00000146)
Enumeration Date2009-11-25
Last Update Date2009-11-25
Business Address
-- STACEY JEAN IWANIEC
1550 N 115TH ST
SEATTLE, WA 98133-8401
Phone number: 206-368-1008
Mailing Address
-- STACEY JEAN IWANIEC
209 28TH AVE S
SEATTLE, WA 98144-2413
Phone number: 206-992-6686
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