Individual
STACEY VIGILANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 SAWMILL CREEK RD, SITKA, AK 99835-9712
(907) 314-0463
Mailing address
2515 SAWMILL CREEK RD, SITKA, AK 99835-9712
(907) 314-0463
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
194925
AK
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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