Organization
KATHERINE R STANLEY
Active
Other names
Elegant Profile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE R STANLEY CFM (OWNER)
(336) 331-3480
Entity
Organization
Contact information
Practice address
2830 MAPLEWOOD AVE STE A, WINSTON SALEM, NC 27103-4114
(336) 331-3480
(336) 793-1218
Mailing address
2830 MAPLEWOOD AVE STE A, WINSTON SALEM, NC 27103-4114
(336) 331-3480
(336) 793-1218
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
11/15/2018
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