STACI MACE

CLARKSBURG, WV
NPI1073735213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  28011)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- STACI MACE LPN
706 OAKMOUND RD
CLARKSBURG, WV 26301-9398
Phone number: 304-622-7511
Mailing Address
-- STACI MACE LPN
202 BISHOP AVE
GRAFTON, WV 26354-1502
Phone number:
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