Individual
STEPHANIE VICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
9 HYDE CT, PORTSMOUTH, VA 23701-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001135798
VA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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