Individual
DR. REBECCA SUZANNE STIMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
696 W NOWAK DR, LA PORTE, IN 46350-8133
(219) 363-1554
Mailing address
696 W NOWAK DR, LA PORTE, IN 46350-8133
(219) 363-1554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021108A
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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