Individual
STEPHANIE NICOLE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
670 W FIREWEED LN, ANCHORAGE, AK 99503-2562
(907) 770-0862
Mailing address
851 COUNTY ROAD 381, GONZALES, TX 78629-2794
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
192304
AK
164X00000X
Licensed Vocational Nurse
Primary
205984
TX
Other
Enumeration date
01/28/2020
Last updated
05/11/2022
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