Individual
STACIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 LAKE OVERLOOK DR, BOWIE, MD 20721-2931
(240) 412-4194
Mailing address
900 LAKE OVERLOOK DR, BOWIE, MD 20721-2931
(240) 412-4194
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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