Individual
ANGELA STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FINCH PL, NEWPORT NEWS, VA 23608-2057
(757) 898-5009
Mailing address
4 FINCH PL, NEWPORT NEWS, VA 23608-2057
(757) 898-5009
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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