Individual
ANNIE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(630) 881-4452
Mailing address
51 THORN LN APT 3, NEWARK, DE 19711-4438
(630) 881-4452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
J3-0010879
DE
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
09/26/2023
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