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Individual

ALICIA MARIE STEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2020 W STATE HIGHWAY 114 STE 200, GRAPEVINE, TX 76051-8648
(817) 912-8400
Mailing address
2020 W STATE HIGHWAY 114 STE 200, GRAPEVINE, TX 76051-8648
(817) 912-8400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2580-023
WI
363A00000X
Physician Assistant
Primary
PA08455
TX

Other

Enumeration date
07/09/2010
Last updated
04/12/2022
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