Individual
KRISTINE MARY STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
995 WORTHINGTON ST, SPRINGFIELD, MA 01109-4027
(413) 734-5376
(413) 737-7949
Mailing address
995 WORTHINGTON ST, SPRINGFIELD, MA 01109-4027
(413) 734-5376
(413) 737-7949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198823
MA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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