Individual
THERESA STANTON
Active
Individual
THERESA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
003513-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003513-1
NEW YORK LICENSE
NY
Enumeration date
03/06/2017
Last updated
03/06/2017
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