Individual
CANDICE JEANICE STOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 W HIGHWAY 71 STE A-1, AUSTIN, TX 78735-8307
(512) 529-0027
Mailing address
7101 W HIGHWAY 71 STE A-1, AUSTIN, TX 78735-8307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110607
TX
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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