Individual
STEPHANIE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FDN-P
Contact information
Practice address
303 ANACUA LOOP, MANCHACA, TX 78652-3512
(512) 297-1603
Mailing address
303 ANACUA LOOP, MANCHACA, TX 78652-3512
(512) 297-1603
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
TX
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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