Individual
MS. STACY LYNN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 LARKSPUR DRIVE, GREENSBORO, NC 27405-5431
(336) 212-2730
Mailing address
2401 LARKSPUR DRIVE, GREENSBORO, NC 27405-5431
(336) 212-2730
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
NC
374U00000X
Home Health Aide
Primary
—
NC
376K00000X
Nurse's Aide
—
NC
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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