CHARLES EDWARD STACY

FRESNO, CA
NPI1912663436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  282056)
Enumeration Date2021-11-09
Last Update Date2021-11-09
Business Address
CHARLES EDWARD STACY
1130 E MENLO AVE
FRESNO, CA 93710-4016
Phone number: 562-833-1632
Mailing Address
CHARLES EDWARD STACY
1130 E MENLO AVE
FRESNO, CA 93710-4016
Phone number:
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