Individual
HANSEL STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 MORAN AVE APT 105, TOLEDO, OH 43607-2758
(419) 539-6804
Mailing address
1205 MORAN AVE APT 105, TOLEDO, OH 43607-2758
(419) 539-6804
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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