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Individual

STELLA TARTISIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 N COTTONWOOD DR, RICHARDSON, TX 75080-4702
(214) 469-6166
Mailing address
123 N COTTONWOOD DR, RICHARDSON, TX 75080-4702

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350861
TX

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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