Individual
STEPHANIE D BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 E 35TH ST, DAVENPORT, IA 52806-6103
(208) 513-5559
Mailing address
142 E 35TH ST, DAVENPORT, IA 52806-6103
(208) 513-5559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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