Most Relevant Information
Provider Data
| NPI Number: | 1003228552 |
| Provider Name: | STACEY HUNTER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703102369 |
Most Important Dates
| Enumeration Date: | 06/02/2014 |
| Last Updated: | 06/02/2014 |
Provider Practice Location
20150 SHERWOOD RD
BELLEVILLE
MI
481119377
Practice Location Phone/Fax
| Phone: | 2485959992 |
| Fax: |
Provider Mailing Location
20150 SHERWOOD RD
BELLEVILLE
MI
481119377
Provider Mailing Phone/Fax
| Phone: | 2485959992 |
| Fax: |