Stacey Kokell
Adult Companion in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1871195438
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1871195438
- Entity type
- Individual (NPI-1)
- Name
- Stacey Kokell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
2674 Se Tiffany AvePort St Lucie, FL 34952-7157
Phone 561-572-6832
Mailing address
2674 Se Tiffany AvePort St Lucie, FL 34952-7157
Phone 561-572-6832
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