NPI 1023286416

Stacey Hancock, LMP

Practitioner Specialist Enumclaw, WA

Practice location

Address: 1534 Railroad St, Enumclaw, WA 98022-3005
Phone: (360) 367-0321

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00012688 (WA)

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Registry record

NPI: 1023286416
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2008
Record last updated: 19 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.