Individual
DERRYIN NINAYE STAMPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
28 SNYDER RD, FAYETTE, MS 39069-5051
(601) 809-6004
Mailing address
28 SNYDER RD, FAYETTE, MS 39069-5051
(601) 809-6004
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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