Individual
STACEY LYNN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
2301 CEDLEY ST, BALTIMORE, MD 21230-3117
(667) 967-0980
Mailing address
2301 CEDLEY ST, BALTIMORE, MD 21230-3117
(667) 967-0980
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LO1324
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LO1324
BPQA
MD
Enumeration date
09/25/2020
Last updated
09/25/2020
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