Individual
STACIA MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MANDALAY GROVE CT, MERRITT ISLAND, FL 32953-8001
(321) 537-0004
Mailing address
709 MANDALAY GROVE CT, MERRITT ISLAND, FL 32953-8001
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9265819
FL
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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