MRS. SHANE D. STACK, CRNA
Student, Health Care at New Scotland Ave, Albany, NY

License number
New York 519798-1
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address 2
43 New Scotland Ave, Albany, NY 12208
14 Canvasback Rdg, Waterford, NY 12188
Phone
(518) 262-5000
(518) 779-2733
National Provider ID: 1114279726
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about SHANE D. STACK at radaris.com
Name
Address
Phone
Shane Stack, age 53
201 Harmony Mill Lofts, Cohoes, NY 12047

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