Stacey Edgar, SLS
NPI #1073135885 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1073135885
- Entity Type
- Individual
- Name
- Stacey Edgar, SLS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist
- Credential
- SLS
- Enumeration Date
- May 14, 2020
- Last Updated
- May 14, 2020
Practice Location
- Address
- 112 RESERVOIR AVE
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03104-4468
- Phone
- (603) 624-6352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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