Individual
JULIE STOFKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(770) 922-9800
Mailing address
1019 HENNA CT SE, CONYERS, GA 30013-2026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
050819
GA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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