Individual
STACEY KIPP SOWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 W THUNDERBIRD RD STE F600, GLENDALE, AZ 85306-4667
(602) 863-4203
(602) 863-4216
Mailing address
6319 W HONEYSUCKLE DR, PHOENIX, AZ 85083-1824
(281) 667-6545
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE10998
AZ
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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