STACY RENE LANE

CRAIGSVILLE, WV
NPI1306452610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-22
Last Update Date2021-08-18
Business Address
STACY RENE LANE
95 PONDEROSA DR
CRAIGSVILLE, WV 26205-8930
Phone number: 304-651-9007
Mailing Address
STACY RENE LANE
95 PONDEROSA DR
CRAIGSVILLE, WV 26205-8930
Phone number: 304-651-9007
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