Individual
DEBBIE GANN STOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
404 PINEHILL RD, BOONEVILLE, MS 38829-7904
(662) 728-3965
(662) 728-3965
Mailing address
404 PINEHILL RD, BOONEVILLE, MS 38829-7904
(662) 728-3965
(662) 728-3965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P191108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770230
—
MS
Enumeration date
01/08/2007
Last updated
07/09/2007
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