Individual
STEPHANIE RENEE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3534 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 550-8445
Mailing address
4 CAROL DR, HURRICANE, WV 25526-9609
(304) 550-8445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2010-2787
WV
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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