Individual
MS. STACYE YVETTE HOSEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
396 SPARROW RD, SWEET WATER, AL 36782-4307
(334) 216-1597
Mailing address
396 SPARROW RD, SWEET WATER, AL 36782-4307
(334) 216-1597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-040991
AL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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