Individual
SAMANTHA JOANN STOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
304 S LINCOLN DR, TROY, MO 63379-2818
(573) 742-8065
Mailing address
304 S LINCOLN DR, TROY, MO 63379-2818
(573) 742-8065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024014154
MO
171100000X
Acupuncturist
2024014154
MO
Other
Enumeration date
04/17/2024
Last updated
12/21/2024
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