Individual
STEPHANIE ANN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MARILYN DR, SULPHUR, LA 70663-4029
(337) 515-9565
Mailing address
310 MARILYN DR, SULPHUR, LA 70663-4029
(337) 515-9565
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
CLP.200692-GEN
LA
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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