Stacy Sisson

NPI #1164550026 in Saint Louis, Missouri

Provider Information

NPI Number: 1164550026
Entity Type: Organization
Organization Name: Stacy Sisson
Primary Specialty: Technician
Enumeration Date: Mar 1, 2007
Last Updated: Jun 19, 2008

Practice Location

Address: 5608 CLIFF CAVE CROSSING DR
City: Saint Louis
State: Missouri
ZIP Code: 63129-4368
Phone: (314) 960-0957

Authorized Official

Name: MRS. STACY J SISSON, R.N.
Title: OWNER
Phone: (314) 960-0957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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