Individual
TARYN CAMILLE STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17164 HAVEN CT, KING GEORGE, VA 22485-6164
(540) 663-2318
Mailing address
17164 HAVEN CT, KING GEORGE, VA 22485-6164
(540) 663-2318
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1201100945
VA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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