Individual
MS. GLENDA STEPHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7601 FOREST AVE, RICHMOND, VA 23229-4933
(804) 289-4972
Mailing address
10226 HERITAGE LN, GLEN ALLEN, VA 23060-3701
(804) 672-6920
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
0015000133
VA
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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