Doctor Name: | MS. VICKI JEAN STANCIL |
NPI Number: | 1164655874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | MA 49818 |
Business Practice Address: | 628 Haven Pl Tarpon Springs, FL - 346894859 |
Business Phone Number: | 7275107955 |
Business Fax Number: | |
Mailing Address: | 628 Haven Pl, TARPON SPRINGS |
State: | FL |
Postal Code: | 346894859 |
Phone Number: | 7275107955 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | MA 49818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |