Coriann Stout, RDH
Specialist in Latrobe, PA. Individual provider (NPI-1).
NPI number1891420105
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1891420105
- Entity type
- Individual (NPI-1)
- Name
- Coriann Stout
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | PA | Yes |
Practice location
195 Anna Goodman RdLatrobe, PA 15650-5121
Phone 724-396-5296
Mailing address
195 Anna Goodman RdLatrobe, PA 15650-5121
Phone 724-396-5296
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