Stacy Jo Upton

NPI #1487491932 in Isanti, Minnesota

Provider Information

NPI Number
1487491932
Entity Type
Individual
Name
Stacy Jo Upton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Jul 11, 2024
Last Updated
Jul 11, 2024

Practice Location

Address
28115 LILY ST NW
City
Isanti
ZIP Code
55040-5995
Phone
(763) 238-9261

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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