Individual
MARIANGELA ZO STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 KEATON RD S, SANGER, TX 76266-9181
(940) 594-8297
Mailing address
817 KEATON RD S, SANGER, TX 76266-9181
(940) 594-8297
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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