Individual
MS. STACEY ELLEN GAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
9781 BEECHWOOD DR, NORTH ROYALTON, OH 44133-1313
(440) 567-7906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008564
OH
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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