Organization
STEPHANIE VANOVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN VANOVER LAC (OWNER)
(941) 224-5009
Entity
Organization
Contact information
Practice address
3410 SIX FORKS RD, RALEIGH, NC 27609-7234
(919) 832-3365
Mailing address
3410 SIX FORKS RD, RALEIGH, NC 27609-7234
(919) 832-3365
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
Primary
837
NC
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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