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Stacey Nicole Humphrey
Customized Equipment (DME) in Florissant, Missouri
NPI 1972963809

Stacey Nicole Humphrey is a Customized Equipment (DME) based in Florissant, MO and is specialized in Customized Equipment. Stacey Nicole Humphrey practices in Florissant, MO. The NPI Number for Stacey Nicole Humphrey is 1972963809 and holds a License No. (Missouri).

The current practice location address for Stacey Nicole Humphrey is 2175 Orleans Ln, Florissant, MO and can be reached out via phone at 314-243-1785 and via fax at 314-480-7162.

Location: 2175 Orleans Ln, Florissant, MO, 63031-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972963809
Provider Name
Stacey Nicole Humphrey
Credential
Provider Entity Type
Individual
Gender
Female
Address
2175 Orleans Ln, Florissant, MO, 63031-2111
Phone Number
314-243-1785
Fax Number
314-480-7162
Provider Enumeration Date
03/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2175 Orleans Ln
City
Florissant
State
Missouri
Zip
63031-2111
Phone Number
314-243-1785
Fax Number
314-480-7162
person
Provider Business Mailing Address Details
Address
2175 Orleans Ln
City
Florissant
State
Missouri
Zip
63031-2111
Phone Number
314-243-1785
Fax Number
314-480-7162
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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