STACYE DICK

CHANTILLY, VA
NPI1124455118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  256896)
Enumeration Date2013-10-04
Last Update Date2013-10-04
Business Address
-- STACYE DICK GNP-BC
14121 PARKE LONG CT SUITE 200 & 201
CHANTILLY, VA 20151-1647
Phone number: 571-449-3585
Mailing Address
-- STACYE DICK GNP-BC
14121 PARKE LONG CT SUITE 200 & 201
CHANTILLY, VA 20151-1647
Phone number: 571-449-3585
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