STACEY LEE SUTHERLIN

SOLDOTNA, AK
NPI1275110157
Former NameSTACEY LEE DARR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  147817)
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
STACEY LEE SUTHERLIN LPN
354 TYEE ST
SOLDOTNA, AK 99669-7657
Phone number: 907-714-5870
Mailing Address
STACEY LEE SUTHERLIN LPN
354 TYEE ST
SOLDOTNA, AK 99669-7657
Phone number: 907-714-5870