Individual
ALEXANDRIA STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 N DAMEN AVE, 4W, CHICAGO, IL 60625-1718
(517) 316-5366
Mailing address
4438 N DAMEN AVE, 4W, CHICAGO, IL 60625-1718
(517) 316-5366
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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