STEPHANIE MICHELLE FAIRES

WICHITA, KS
NPI1467131961
Former NameSTEPHANIE MICHELLE ROARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KS  45617)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
STEPHANIE MICHELLE FAIRES LPN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Mailing Address
STEPHANIE MICHELLE FAIRES LPN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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