Individual
KRISTIN E STELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
6907 22ND ST W, BRADENTON, FL 34207-5702
(941) 448-8811
Mailing address
6907 22ND ST W, BRADENTON, FL 34207-5702
(941) 448-8811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA-29580
FL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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