Individual
MRS. STACEY POULIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
6007 CHINABERRY CT, CHARLOTTE, NC 28269-9174
(704) 737-5895
Mailing address
6007 CHINABERRY CT, CHARLOTTE, NC 28269-9174
(704) 737-5895
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW0090
SC
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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