Individual
MR. STACEY E THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
(234) 254-8413
Mailing address
2225 GOLETA AVE, YOUNGSTOWN, OH 44504-1327
(330) 787-9180
(234) 254-8413
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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