Individual
MS. STACEY LYNN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4838 JUDSON RD, ALDERSON, WV 24910-4530
(304) 661-2372
Mailing address
4838 JUDSON RD, ALDERSON, WV 24910-4530
(304) 661-2372
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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