Individual
STACEY ANN CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 W RUSTLER LN, COTTONWOOD, AZ 86326-7354
(651) 253-1285
Mailing address
4252 E CANYON TRL APT 5, COTTONWOOD, AZ 86326-5943
(928) 202-7115
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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