STACEY THERECIA FORBES

MIDDLETOWN, NY
NPI1821366592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  336988)
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
-- STACEY THERECIA FORBES NP
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 800-893-9698
Mailing Address
-- STACEY THERECIA FORBES NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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