DIANE STACK

ENFIELD, CT
NPI1225180425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CT  E45917)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- DIANE STACK RN
36 MIDDLE RD
ENFIELD, CT 06082-4533
Phone number: 860-763-5669
Mailing Address
-- DIANE STACK RN
103 WEYMOUTH RD
ENFIELD, CT 06082-6044
Phone number: 860-745-6102
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