Individual
STACY NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 OAK DR, GREENVILLE, SC 29611-5727
(864) 283-1355
Mailing address
127 OAK DR, GREENVILLE, SC 29611-5727
(864) 283-1355
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2440644
SC
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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