Individual
MS. JACQUELYN MARIE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
310 BLOUNT ST, SUITE 203, TALLAHASSEE, FL 32301-2207
(850) 556-7009
Mailing address
1210 BRECKENRIDGE RUN, TALLAHASSEE, FL 32311-4060
(850) 556-7009
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA-48657
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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