Individual
MRS. STACY L DEMASCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MTBC
Contact information
Practice address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2117
Mailing address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2117
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
07431
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225A00000X
—
PA
Enumeration date
01/15/2008
Last updated
01/15/2008
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