Individual
STEPHANIE IDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 LEXINGTON AVE, MELISSA, TX 75454-2941
(903) 316-7825
Mailing address
205 LEXINGTON AVE, MELISSA, TX 75454-2941
(903) 316-7825
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
03/31/2024
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