Individual
LUCINDA JEAN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 N COURT ST, WAYNE, WV 25570-1141
(304) 272-5116
Mailing address
PO BOX 70, WAYNE, WV 25570-0070
(304) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
88828
WV
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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