Dr. Michelina D Stoddard, PhD
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
NPI number1760062095
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1760062095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelina D Stoddard
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2021
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
7703 Floyd Curl DrSan Antonio, TX 78229-3901
Phone 206-940-1674
Mailing address
1230 York Ave # 91New York, NY 10065-6307
Phone 206-940-1674
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