GWEN VIRGINIA STACKHOUSE

FLORENCE, AL
NPI1679511141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-038721)
Enumeration Date2006-06-04
Last Update Date2007-07-08
Business Address
-- GWEN VIRGINIA STACKHOUSE CRNA
205 MARENGO ST
FLORENCE, AL 35630-6033
Phone number: 256-768-9191
Mailing Address
-- GWEN VIRGINIA STACKHOUSE CRNA
PO BOX 10005
FLORENCE, AL 35631-2005
Phone number: 256-768-9191
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