NPI 1114221439

Stephanie Denise Sulewski, NCMA

Practitioner Independent Duty Medical Technicians Kings Bay, GA

Practice location

Address: 1063 Uss Tennessee Ave Avenue Ql 11, Kings Bay, GA 31547-2606
Phone: (210) 651-0027
Mailing address: 1025 Mad Fox Dr, Jacksonville, FL 32212-1124

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X Licence 616377 (TX)

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1114221439
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2010
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.