Individual
STACEY MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8647 FOREST VIEW DR, OLMSTED FALLS, OH 44138-3717
(440) 667-4359
Mailing address
8647 FOREST VIEW DR, OLMSTED FALLS, OH 44138-3717
(440) 667-4359
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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