Individual
KACEY STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5938 W HARRISON ST, CHANDLER, AZ 85226-1899
(480) 940-8110
Mailing address
5938 W HARRISON ST, CHANDLER, AZ 85226-1899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN169635
AZ
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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