Individual
LATOYA CANDICE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
511 BAILEY LN, SALISBURY, MD 21801-1159
(410) 831-9967
Mailing address
511 BAILEY LN, SALISBURY, MD 21801-1159
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R178840
MD
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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