Stacey Jean

NPI #1689116873 in Deer Park, New York

Provider Information

NPI Number
1689116873
Entity Type
Individual
Name
Stacey Jean
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Nov 6, 2016
Last Updated
Nov 6, 2016

Practice Location

Address
37 W 3RD ST
ZIP Code
11729-4210
Phone
(917) 470-0222

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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