Individual
NATASHA RENEE STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 MAN O WAR LOOP N, OWENSBORO, KY 42303-2455
(859) 699-0046
Mailing address
3468 MAN O WAR LOOP N, OWENSBORO, KY 42303-2455
(859) 699-0046
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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