Individual
STEPHANIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6628 HOULTON CIR, LAKE WORTH, FL 33467-8736
(561) 876-1822
Mailing address
6628 HOULTON CIR, LAKE WORTH, FL 33467-8736
(561) 876-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9307571
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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