Individual
KANIKA JANELLE STANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
3116 YANCEYVILLE ST, APT E, GREENSBORO, NC 27405-4795
(336) 997-9477
Mailing address
3116 YANCEYVILLE ST, APT E, GREENSBORO, NC 27405-4795
(336) 987-9477
(252) 355-7358
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A5365
NC
Other
Enumeration date
06/03/2009
Last updated
12/05/2011
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