Individual
STACY J GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 MEADOW AVE, ALLIANCE, OH 44601-3265
(330) 356-6636
Mailing address
1148 MEADOW AVE, ALLIANCE, OH 44601-3265
(330) 356-6636
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
501140110706
OH
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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