Stacy St Phard

NPI #1013707355 in Valley Stream, New York

Provider Information

NPI Number
1013707355
Entity Type
Individual
Name
Stacy St Phard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 9, 2025
Last Updated
May 9, 2025

Practice Location

Address
20 KALMIA LN
ZIP Code
11581-2317
Phone
(917) 982-8201

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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