Individual
MRS. MANDY CHARLENE STAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7112 HWY 119 NORTH, JENKINS, KY 41537
(606) 855-7429
(606) 855-0097
Mailing address
7112 HWY 119 NORTH, JENKINS, KY 41537
(606) 855-7429
(606) 855-0097
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
KY-R3591
KY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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