Stacey Moorhouse

NPI #1790210821 in Marengo, Illinois

Provider Information

NPI Number: 1790210821
Entity Type: Individual
Name: Stacey Moorhouse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: 10704 HARMONY HILL RD
City: Marengo
State: Illinois
ZIP Code: 60152-9483
Phone: (815) 276-1663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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