Individual
WHITNEY MARIE STANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1820 LAVIN PLZ, HASLET, TX 76052-1602
(414) 213-1692
Mailing address
1820 LAVIN PLZ, HASLET, TX 76052-1602
(414) 213-1692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327178
WI
Other
Enumeration date
03/13/2018
Last updated
01/26/2023
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