Individual
JENNIFER REBECCA STASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5691 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2605
(352) 628-0096
Mailing address
5691 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2605
(352) 628-0096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9384520
FL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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