Individual
STACY A HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 E ARAPAHOE RD, LITTLETON, CO 80122-2312
(303) 743-5855
Mailing address
6845 NEWLAND ST, ARVADA, CO 80003-3638
(303) 227-9901
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016181
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
07/08/2007
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