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Individual

STACI VICTORIA SOARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HHP, CWHC, HNP, ETC.

Contact information

Practice address
3560 WEBSTER AVE APT 6A, BRONX, NY 10467-5041
(530) 487-0575
Mailing address
3560 WEBSTER AVE APT 6A, BRONX, NY 10467-5041
(530) 487-0575

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
OR
374J00000X
Doula
NY

Other

Enumeration date
01/27/2023
Last updated
01/27/2023
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