STACEY NELSON

MEDFORD, OR
NPI1598204109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  201610238RN)
Enumeration Date2017-02-15
Last Update Date2017-02-15
Business Address
-- STACEY NELSON RN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 443-446-3262
Mailing Address
-- STACEY NELSON RN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: