Individual
STACY LUARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2429 CALEDONIA ST, TOLEDO, OH 43605-1266
(567) 420-7352
Mailing address
2429 CALEDONIA ST, TOLEDO, OH 43605-1266
(567) 420-7352
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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