Individual
MS. STACY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3459 SEABROOK AVE, COLUMBUS, OH 43227-3243
(614) 282-1511
(614) 418-9100
Mailing address
3459 SEABROOK AVE, COLUMBUS, OH 43227-3243
(614) 282-1511
(614) 418-9100
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
401218900411
OH
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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