Individual
MS. VICKI LOU STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-0826
Mailing address
131 W 3RD ST., GLIDDEN, IA 51443
(712) 830-2511
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
079618
IA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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