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Individual

STACEY LYNN SALLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(717) 336-2142
Mailing address
613 FAIRVIEW ST, POTTSVILLE, PA 17901-1628
(570) 622-6848

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9937703
PA

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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