MRS. Stacie Grace Grage, LPN
NPI #1134473010 in Burien, Washington
Provider Information
- NPI Number
- 1134473010
- Entity Type
- Individual
- Name
- MRS. Stacie Grace Grage, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 31, 2012
- Last Updated
- Oct 31, 2012
Practice Location
- Address
- 15675 AMBAUM BLVD SW
- City
- Burien
- State
- Washington
- ZIP Code
- 98166-2523
- Phone
- (206) 433-2125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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