STACY L WEST

PORTLAND, ME
NPI1104585793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  RDH2961)
Enumeration Date2021-12-11
Last Update Date2021-12-11
Business Address
STACY L WEST
686 BRIGHTON AVE
PORTLAND, ME 04102-1012
Phone number: 207-772-8112
Mailing Address
STACY L WEST
80 WEST LN
ARUNDEL, ME 04046-8142
Phone number: 207-229-2936