Individual
MISS VANESSA LAPRICE STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MARVIN CV, HUTTO, TX 78634-5186
(518) 763-6770
Mailing address
250 MARVIN CV, HUTTO, TX 78634-5186
(518) 763-6770
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
919909071
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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