Individual
DANELL STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2492 HAVERHILL RD, FAIRLAWN, OH 44333-3812
(330) 809-9039
Mailing address
2492 HAVERHILL RD, FAIRLAWN, OH 44333-3812
(330) 834-5228
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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