Individual
JUSTIN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16190 JACOBS RD, WATERTOWN, NY 13601-5602
(520) 678-8212
Mailing address
16190 JACOBS RD, WATERTOWN, NY 13601-5602
(520) 678-8212
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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