Individual
STACY KELLY-ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 PALM BEACH PL APT B, VIRGINIA BEACH, VA 23452-5541
(757) 322-7550
Mailing address
116 PALM BEACH PL APT B, VIRGINIA BEACH, VA 23452-5541
(757) 322-7550
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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