Individual
MRS. STACIA K ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 TOGUS CTR, AUGUSTA, ME 04333-0001
(207) 623-8411
Mailing address
22 HINKLEY ST, LISBON FALLS, ME 04252-1129
(207) 713-3774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57014
ME
Other
Enumeration date
07/20/2012
Last updated
10/27/2014
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