Individual
THERESIA HANNELORE STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 WALKER RD STE B, DOVER, DE 19904-2724
(302) 943-5503
Mailing address
531 PEAR ST, DOVER, DE 19904-2928
(302) 943-5503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004403
DE
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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