STACEY JEAN

DEER PARK, NY
NPI1689116873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  690129-1)
Enumeration Date2016-11-06
Last Update Date2016-11-06
Business Address
-- STACEY JEAN
37 W 3RD ST
DEER PARK, NY 11729-4210
Phone number: 917-470-0222
Mailing Address
-- STACEY JEAN
37 W 3RD ST
DEER PARK, NY 11729-4210
Phone number: 917-470-0222
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