MR. Brian Matthew Stout
NPI #1548851645 in Puyallup, Washington
Provider Information
- NPI Number
- 1548851645
- Entity Type
- Individual
- Name
- MR. Brian Matthew Stout
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Feb 1, 2021
- Last Updated
- Feb 1, 2021
Practice Location
- Address
- 18306 71ST AVE E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98375-1843
- Phone
- (931) 538-2387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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