STACI GROTHUES

DYESS AFB, TX
NPI1609455856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  F06212550)
Enumeration Date2021-04-05
Last Update Date2024-08-19
Business Address
STACI GROTHUES
697 LOUISIANA RD
DYESS AFB, TX 79607-1141
Phone number: 325-696-4677
Mailing Address
STACI GROTHUES
697 LOUISIANA RD
DYESS AFB, TX 79607-1141
Phone number: 325-696-4677
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