STACY TAN

BOX ELDER, MT
NPI1982057980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  217537)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- STACY TAN
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4395
Mailing Address
-- STACY TAN
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4395