Stephanie Vah
Technician, Other in Lakeland, FL. Individual provider (NPI-1).
NPI number1962039461
StatusActive
Last updated in NPPESMar 25, 2020
Details
- NPI
- 1962039461
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Vah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Mar 25, 2020
- Last updated
- Mar 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1835 Gilmore AveLakeland, FL 33805-3017
Phone 863-519-0575 · Fax 863-582-9251
Mailing address
Po Box 1559Bartow, FL 33831-1559
Phone 863-519-0575 · Fax 863-582-9251
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