Individual
EUNICE STANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9060 MOONSHINE HOLW APT H, LAUREL, MD 20723-1637
(410) 300-6957
Mailing address
9060 MOONSHINE HOLW APT H, LAUREL, MD 20723-1637
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN1015835
DC
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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