Individual
STACEY FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 W RANDOLPH ST, STOUGHTON, WI 53589-2555
(608) 635-5197
Mailing address
324 W RANDOLPH ST, STOUGHTON, WI 53589-2555
(608) 635-5197
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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