Individual
STACI SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82 MONROVIA AVE, SMYRNA, DE 19977-1530
(302) 653-8585
Mailing address
82 MONROVIA AVE, SMYRNA, DE 19977-1530
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0028327
DE
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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