Individual
MRS. MANDY ELAINE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 N PROSPECT AVE, SEDALIA, MO 65301
(660) 826-5353
(660) 826-5780
Mailing address
419 N PROSPECT AVE, SEDALIA, MO 65301
(660) 826-5353
(660) 826-5780
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
035165
MO
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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