STACEY HERMAN

AVON, NY
NPI1023394020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  279727-1)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- STACEY HERMAN LPN
5390 E AVON RD APT. 4
AVON, NY 14414-1456
Phone number: 585-438-3004
Mailing Address
-- STACEY HERMAN LPN
5390 E AVON RD APT. 4
AVON, NY 14414-1456
Phone number: 585-438-3004
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