Individual
MS. STACEY LEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HWY 17 S APT 4, RHINELANDER, WI 54501-9044
(715) 889-3363
Mailing address
2250 HWY 17 S APT 4, RHINELANDER, WI 54501-9044
(715) 889-3363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316206-31
WI
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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