IndividualActive
Stephanie Sulewski, NCMA
NPI 1114221439 · Independent Duty Medical Technicians · Kings Bay, GA
Provider details
- NPI number
- 1114221439
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- NCMA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 616377 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
1063 Uss Tennessee Ave
Avenue Ql 11
Kings Bay, GA 31547-2606
Phone: (210) 651-0027
Approximate (ZIP-level) locationGet directions
Mailing address
1025 Mad Fox Dr
Jacksonville, FL 32212-1124
Registry dates
- Enumerated
- 2010-12-29
- Last updated
- 2010-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.