Individual
AMY STUBBLEBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 376-4128
Mailing address
313 S 5TH ST, ODESSA, DE 19730-2078
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0028538
DE
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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