Individual
MRS. STACEY LORENA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
933 DERRICK ADKINS LANE, WEST HEMSTEAD, NY 11552
(516) 652-5532
Mailing address
201-09 E MERRICK ROAD, VALLEY STREAM, NY 11580
(516) 652-5532
(516) 887-6500
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
399433-1
NY
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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