Individual
MRS. SUSAN STAMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8422 SUN DR, PORT RICHEY, FL 34668-3339
(727) 741-3405
Mailing address
8422 SUN DR, PORT RICHEY, FL 34668-3339
(727) 741-3405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9181755
FL
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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