Individual
STACEY D DURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3488 ALEC DR, MIDDLEBURG, FL 32068-7878
(904) 860-5258
Mailing address
3488 ALEC DR, MIDDLEBURG, FL 32068-7878
(904) 860-5258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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