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Stacey Van Tassel, L.M.P
NPI 1124214267 · on the registry since 2007 · sole proprietor
Practice
- Address
- 29034 216th Ave Se
Black Diamond, WA 98010 - Phone
- (360) 886-2649
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington