Brenda Stacy

NPI #1356889745 in Potesu, Oklahoma

Provider Information

NPI Number
1356889745
Entity Type
Individual
Name
Brenda Stacy
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prevention Professional
Enumeration Date
Feb 6, 2017
Last Updated
Feb 6, 2017

Practice Location

Address
507 DRWEY
City
Potesu
ZIP Code
74953
Phone
(918) 649-0172

Specialties & Taxonomy Codes

Specialty
Prevention Professional

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