Stacey Ann Manderson
Stacey Ann Manderson is a Community Health Worker in Palm Bay, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
985 Caligula Ave SEPalm Bay, FL 32909-4754
Phone: (321) 419-6945
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (FL) |
|---|
Record details
| NPI number | 1417630807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | August 10, 2023 |
| Certification date | August 10, 2023 |
| Mailing address | 985 Caligula Ave Se, Palm Bay, FL 32909-4754 |
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