Individual
DIANE STICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 BAY PLAZA BLVD STE 418, TAMPA, FL 33619-4412
(813) 701-1234
Mailing address
9225 BAY PLAZA BLVD STE 418, TAMPA, FL 33619-4412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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