Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1194981431 |
---|---|
Provider Name | Virginia Stonehocker III |
First Address | Kalispell, MT 59901-1218 |
Second Address | Kalispell, MT 59901-1218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 27/02/2015 |