Individual
STEFANIE MAGNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 ANDOVER ST, ANDOVER, MA 01810-4888
(781) 752-9216
Mailing address
28 ANDOVER ST, ANDOVER, MA 01810-4888
(781) 752-9216
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN2270719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2270719
COSMETICS
—
Enumeration date
06/28/2020
Last updated
06/28/2020
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