Individual
STACEY M HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
19016 MAPLE HEIGHTS BLVD, MAPLE HEIGHTS, OH 44137-2220
(216) 659-1493
Mailing address
19016 MAPLE HEIGHTS BLVD, MAPLE HEIGHTS, OH 44137-2220
(216) 659-1493
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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