Individual
KATIE MICHELLE STONELAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 FILBERT ST, 4 HVP, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Mailing address
3801 FILBERT ST, 4 HVP, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
SP018340
PA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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