Mr Brian Matthew Stout, | |
18306 71st Ave E, Puyallup, WA 98375-1843 | |
(931) 538-2387 | |
Not Available |
Full Name | Mr Brian Matthew Stout |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 18306 71st Ave E, Puyallup, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548851645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | LP60534434 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Matthew Stout, 18306 71st Ave E, Puyallup, WA 98375-1843 Ph: (931) 538-2387 | Mr Brian Matthew Stout, 18306 71st Ave E, Puyallup, WA 98375-1843 Ph: (931) 538-2387 |
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› Verified 5 days ago
Michael Wesley Fish, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8408 133rd St E, Puyallup, WA 98373 Phone: 253-335-9438 |