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STACEY ALLEN
>> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1427371798
Individual Registrant: STACEY ALLEN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2040 FITZHUGH ST BATESVILLE, AR 72501-7409 US
Tel: 870-793-3334 Fax: --
Tel: 870-793-3334 Fax: --
Contact information for business:
2040 FITZHUGH ST BATESVILLE, AR 72501-7409 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1427371798
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 374700000X | Nursing Service Related Providers Technician |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
