Individual
STEPHANIE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 W MARCH LN, SUITE B-4, STOCKTON, CA 95207-5263
(209) 888-8602
(209) 888-8603
Mailing address
2333 W MARCH LN, SUITE B-4, STOCKTON, CA 95207-5263
(209) 888-8602
(209) 888-8603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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