Individual
MRS. SOTOYIA FAIRLEY STONEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4420 S 32ND ST, PHOENIX, AZ 85040-2804
(602) 268-8748
Mailing address
2217 PAULA CIR, OCEAN SPRINGS, MS 39564-5675
(901) 801-2492
(602) 726-4776
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
280879
AZ
Other
Enumeration date
01/13/2023
Last updated
08/21/2024
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