Individual
MRS. STACY MARIE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6308 L AVENUE PL, KEARNEY, NE 68847-7205
(402) 621-0536
Mailing address
6308 L AVENUE PL, KEARNEY, NE 68847-7205
(402) 621-0536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24554
NE
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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