Individual
MR. DOUGLAS JAMES STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
15 JOYS LN, KINGSTON, NY 12401-3705
(845) 331-5064
Mailing address
15 JOYS LN, KINGSTON, NY 12401-3705
(845) 331-5064
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
353104-1
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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