Individual
DR. STEPHANIE ELAINE FERNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13924 COALFIELD COMMONS PL STE 102, MIDLOTHIAN, VA 23114-1255
(804) 594-1998
(804) 594-3804
Mailing address
3505 STUART AVE APT 104, RICHMOND, VA 23221-2120
(804) 519-2764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557515
VA
Other
Enumeration date
10/09/2018
Last updated
10/23/2018
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