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Bethany Stull, LMP
Specialist in Tacoma, Washington
NPI 1508304585

Bethany Stull is a Specialist based in Federal Way, WA. Bethany Stull practices in Tacoma, WA and has the professional credentials of LMP. The NPI Number for Bethany Stull is 1508304585 and holds a License No. MA 60622268 (Washington).

The current practice location address for Bethany Stull is 1310 S Union Ave, Tacoma, WA and can be reached out via phone at 253-507-4631.

Location: 1310 S Union Ave, Tacoma, WA, 98023-2260
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Provider Profile Details
NPI Number
1508304585
Provider Name
Bethany Stull
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1310 S Union Ave, Tacoma, WA, 98023-2260
Phone Number
253-507-4631
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47-1101118 01 WA LMP
institution
Provider Business Practice Location Address Details
Address
1310 S Union Ave
City
State
Zip
98405-1907
Phone Number
253-507-4631
Fax Number
person
Provider Business Mailing Address Details
Address
1310 S Union Ave
City
State
Zip
98405-1907
Phone Number
253-507-4631
Fax Number
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA 60622268 (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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