Individual
CAROL STAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 WOOD SCHOOL RD, HASTINGS, MI 49058-9538
(269) 948-9034
Mailing address
3760 WOOD SCHOOL RD, HASTINGS, MI 49058-9538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704130195
MI
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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