Individual
MS. STEPHANIE NICOLE PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104B S MAIN ST, LEXINGTON, NC 27292-3134
(336) 300-8826
Mailing address
556 CREEKWOOD DR, LEXINGTON, NC 27292-0702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75683
NC
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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