Individual
STACEY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CRESCENT CT, CHEEKTOWAGA, NY 14225-3215
(716) 261-6760
Mailing address
114 CRESCENT CT, CHEEKTOWAGA, NY 14225-3215
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
800251
NY
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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