STACY WILSON

FALLON, NV
NPI1174898365
Other NameSTACY RIDDLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-03-20
Last Update Date2012-03-20
Business Address
-- STACY WILSON
4233 PELICAN DR
FALLON, NV 89406-2445
Phone number: 775-291-8406
Mailing Address
-- STACY WILSON
4233 PELICAN DR
FALLON, NV 89406-2445
Phone number: 775-291-8406