Individual
STACEY STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 KENWOOD ST, GREENFIELD, MA 01301-1973
(413) 223-5072
Mailing address
21 KENWOOD ST, GREENFIELD, MA 01301-1973
(413) 223-5072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2289450
MA
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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