Individual
STEPHANIE A STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13333 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13236 EDISON ST, SOUTHGATE, MI 48195-1051
(865) 566-8108
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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