DERICA STAKE, LPN

LPN

Licensed Practical Nurse

NPI: 1770242570Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

156627(OH)

Contact & Hours

Address: 120 BULL STRING LN
GREENUP, KY 41144
Phone: (606) 922-8207

Quick Facts

NPI: 1770242570
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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