SearchWashington106S00000X

Stacey Bussard

NPI 1871146142 · on the registry since 2019 · sole proprietor

Practice

Address
902 Ofarrell Ln Nw
Orting, WA 98360
Phone
(253) 283-0197

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-16

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