Individual
DENISE STIFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5424 UTICA RD, WAYNESVILLE, OH 45068-9365
(937) 536-9118
Mailing address
5424 UTICA RD, WAYNESVILLE, OH 45068-9365
(937) 536-9118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
155072-M-IV
OH
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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