Individual
MRS. VICTORIA DENISE STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 ELM ST NW, POULAN, GA 31781-3708
(229) 206-1777
Mailing address
218 ELM ST NW, POULAN, GA 31781-3708
(229) 206-1777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN075806
GA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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