STACEY M DORAIS

SALT LAKE CITY, UT
NPI1205262474
Professional NameSTACEY M PEARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  92358484405)
Enumeration Date2013-09-19
Last Update Date2020-10-01
Business Address
Ms. STACEY M DORAIS PMHNP-BC
201 S 1460 E RM 426
SALT LAKE CITY, UT 84112-9061
Phone number: 801-581-6826
Mailing Address
Ms. STACEY M DORAIS PMHNP-BC
201 S 1460 E RM 426
SALT LAKE CITY, UT 84112-9061
Phone number: 801-581-6826