Victoria Stovall, OWNER

NPI #1427320746 in Woodbury, Minnesota

Provider Information

NPI Number: 1427320746
Entity Type: Individual
Name: Victoria Stovall, OWNER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OWNER
Enumeration Date: Feb 1, 2012
Last Updated: Feb 1, 2012

Practice Location

Address: 6043 HUDSON RD
Address 2: SUITE 125
City: Woodbury
State: Minnesota
ZIP Code: 55125-1018
Phone: (612) 735-0610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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