STACEY KALLENBACH

STERLING HEIGHTS, MI
NPI1235528712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703114282)
Enumeration Date2015-01-21
Last Update Date2015-01-21
Business Address
-- STACEY KALLENBACH
12192 CORVAIR DR
STERLING HEIGHTS, MI 48312-4026
Phone number: 907-440-6870
Mailing Address
-- STACEY KALLENBACH
12192 CORVAIR DR
STERLING HEIGHTS, MI 48312-4026
Phone number: 907-440-6870