Individual
STACEY LYNN SCOFERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
7295 S MARSTELLAR RD, TUCSON, AZ 85735-2281
(585) 727-1083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287067
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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