Individual
MS. STACEY MARIE DIANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4124 MUNSON ST NW, CANTON, OH 44718-2979
(234) 410-7546
Mailing address
29111 CEDAR RD, MAYFIELD HEIGHTS, OH 44124-4005
(440) 646-1600
(440) 646-1505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003342
OH
Other
Enumeration date
10/05/2011
Last updated
06/05/2025
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