Individual
STACEY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 N PARK AVE, MONTROSE, CO 81401-3124
(970) 314-4858
Mailing address
724 N PARK AVE, MONTROSE, CO 81401-3124
(970) 314-4858
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
20161619056
CO
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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