Individual
NATASHA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 SUMMERS FORK RD, CRUM, WV 25669-8055
(304) 962-7862
Mailing address
136 SUMMERS FORK RD, CRUM, WV 25669-8055
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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