STACY MOYSTON

CORONA, NY
NPI1710113139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  293875)
Enumeration Date2009-06-01
Last Update Date2009-06-01
Business Address
-- STACY MOYSTON
5525 98TH PL 1
CORONA, NY 11368-3005
Phone number: 718-760-2434
Mailing Address
-- STACY MOYSTON
5525 98TH PL 1
CORONA, NY 11368-3005
Phone number: 718-760-2434