Individual
STACEY BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
216 MAPLE HTS, BATH, NY 14810-1016
(607) 776-4123
Mailing address
216 MAPLE HTS, BATH, NY 14810-1016
(607) 776-4123
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
574280-1
NY
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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