Individual
STACIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 FAIRLAWN ST, SMITHVILLE, OH 44677-9613
(330) 419-9175
Mailing address
537 FAIRLAWN ST, SMITHVILLE, OH 44677-9613
(330) 419-9175
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602439271221
OH
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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