SANDRA JO STACK

BECKLEY, WV
NPI1235788845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WV  104460)
Enumeration Date2019-09-06
Last Update Date2019-09-10
Business Address
SANDRA JO STACK APRN-FNP-BC
250 STANAFORD RD
BECKLEY, WV 25801-3140
Phone number: 304-255-2668
Mailing Address
SANDRA JO STACK APRN-FNP-BC
250 STANAFORD RD STE 106
BECKLEY, WV 25801-3140
Phone number: 304-255-2668
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