Individual
AUDREY JOANNA STUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 CHURCH ST, GREENVILLE, TX 75401-3531
(903) 413-2526
(903) 454-9780
Mailing address
2406 CHURCH ST, GREENVILLE, TX 75401-3531
(903) 413-2526
(903) 454-9780
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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