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Stacey Jonelle Van Tassel, LMP
Specialist in Black Diamond, Washington
NPI 1124214267

Stacey Jonelle Van Tassel is a Specialist based in Covington, WA. Stacey Jonelle Van Tassel practices in Black Diamond, WA and has the professional credentials of LMP. The NPI Number for Stacey Jonelle Van Tassel is 1124214267 and holds a License No. MA00020492 (Washington).

The current practice location address for Stacey Jonelle Van Tassel is 29034 216Th Ave Se, Black Diamond, WA and can be reached out via phone at 360-886-2649.

Location: 29034 216Th Ave Se, Black Diamond, WA, 98042-5087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124214267
Provider Name
Stacey Jonelle Van Tassel
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
29034 216Th Ave Se, Black Diamond, WA, 98042-5087
Phone Number
360-886-2649
Fax Number
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29034 216Th Ave Se
City
Black Diamond
State
Washington
Zip
98010-1297
Phone Number
360-886-2649
Fax Number
person
Provider Business Mailing Address Details
Address
29034 216Th Ave Se
City
Black Diamond
State
Washington
Zip
98010-1297
Phone Number
360-886-2649
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00020492 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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