Individual
MARILYN STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 355-7734
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 355-7734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN09926
CO
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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