Individual
MS. DEIDRE LYNN STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 754-7269
(386) 754-7278
Mailing address
PO BOX 3839, LAKE CITY, FL 32056-3839
(386) 754-7269
(386) 754-7278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16001
AK
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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