Provider Demographics
NPI:1306983523
Name:STEFAN, HELENA V (MAC LAC)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:V
Last Name:STEFAN
Suffix:
Gender:F
Credentials:MAC LAC
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Mailing Address - Street 1:11140 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 530
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3106
Mailing Address - Country:US
Mailing Address - Phone:301-881-2898
Mailing Address - Fax:301-881-4450
Practice Address - Street 1:11140 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 530
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3106
Practice Address - Country:US
Practice Address - Phone:301-881-2898
Practice Address - Fax:301-881-4450
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDU0462171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist