Individual
JOCELYN M STAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 PHILADELPHIA PIKE, WILMINGTON, DE 19809-3166
(888) 757-1951
(877) 757-1951
Mailing address
PO BOX 272195, FORT COLLINS, CO 80527-2195
(888) 757-1951
(877) 757-1951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-0003800
DE
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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