Individual
MRS. STACY HAMEL CANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 YORK ST, STOUGHTON, MA 02072-1829
(781) 344-1317
Mailing address
23 MARS ST, WEYMOUTH, MA 02188-1003
(781) 771-0249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1558
MA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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