STACEY R GREEN

SYRACUSE, NY
NPI1780200758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  321760)
Enumeration Date2020-06-24
Last Update Date2020-06-24
Business Address
STACEY R GREEN LPN
707 MEADOWBROOK DR
SYRACUSE, NY 13210-3113
Phone number: 315-726-4308
Mailing Address
STACEY R GREEN LPN
707 MEADOWBROOK DR
SYRACUSE, NY 13210-3113
Phone number: 315-726-4308
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