STACEY MAIN

WILKES BARRE, PA
NPI1295364941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: PA  OS023974)
Enumeration Date2020-04-05
Last Update Date2025-07-21
Business Address
STACEY MAIN
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-7300
Mailing Address
STACEY MAIN
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-808-7300
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