Individual
STACEY MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 NE 2ND ST APT 120, HALLANDALE BEACH, FL 33009-4363
(305) 834-3698
Mailing address
415 NE 2ND ST APT 120, HALLANDALE BEACH, FL 33009-4363
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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