Organization
STACY SISSON
Active
Other names
ProTec Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY J SISSON R.N. (OWNER)
(314) 960-0957
Entity
Organization
Contact information
Practice address
5608 CLIFF CAVE CROSSING DR, SAINT LOUIS, MO 63129-4368
(314) 960-0957
(314) 846-1161
Mailing address
5608 CLIFF CAVE CROSSING DR, SAINT LOUIS, MO 63129-4368
(314) 960-0957
(314) 846-1161
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
143216
MO
Other
Enumeration date
03/01/2007
Last updated
06/19/2008
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