Individual
WILLIAM STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488
Mailing address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010002710
MO
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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