IndividualActive
Taylor Stubblefield, IDC
NPI 1013663129 · Independent Duty Corpsman · Pearl Harbor, HI
Provider details
- NPI number
- 1013663129
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Mailing address
480 Central Ave
Pearl Harbor, HI 96860-4908
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.