Individual
ADRIANNE STUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 HOLTZ RD, SHELBY, OH 44875
(419) 564-6761
Mailing address
2708 HOLTZ RD, SHELBY, OH 44875-8812
(419) 564-6761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-116789
OH
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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