Individual
STACEY J BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
660 PROSPECT AVE STE 100, HARTFORD, CT 06105-4230
(860) 999-4431
Mailing address
660 PROSPECT AVE STE 100, HARTFORD, CT 06105-4230
(860) 999-4431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114001
CT
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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