Individual
STACY LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2051 E HERCALA LN, HERNANDO, FL 34442-2937
(352) 419-2014
Mailing address
2051 E HERCALA LN, HERNANDO, FL 34442-2937
(352) 419-2014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9564798
FL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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