Individual
STEPHANIE LOUISE VANDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22377 LINDEN STREET, DEERWOOD, MN 56444
(218) 534-5425
Mailing address
PO BOX 191, DEERWOOD, MN 56444-0191
(218) 534-5425
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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