Individual
STACEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 BEAVER DR, DU BOIS, PA 15801-2511
(814) 375-0455
(814) 375-2721
Mailing address
871 BEAVER DR, DU BOIS, PA 15801-2511
(814) 375-0455
(814) 375-2721
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F03656
PA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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