AUDRA STALLARD

TACOMA, WA
NPI1922502665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61102565)
Enumeration Date2018-03-19
Last Update Date2021-07-16
Business Address
AUDRA STALLARD
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-403-2938
Mailing Address
AUDRA STALLARD
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-403-2938
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