Individual
MRS. STEPHANIE BANGUILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HCHI
Contact information
Practice address
3036 NUPTIAL LN, LAWRENCEVILLE, GA 30044-2624
(770) 828-5233
Mailing address
3036 NUPTIAL LN, LAWRENCEVILLE, GA 30044-2624
(770) 828-5233
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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