Individual
STEPHANIE WATERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.312239
OH
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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