Individual
STACEY SHERISE LACEY-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37490 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3503
(586) 480-1438
(586) 983-9797
Mailing address
37490 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3503
(586) 480-1438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704378583
MI
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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