Individual
JACOB SCOTT STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(855) 978-2161
Mailing address
1172 SHOALS BRANCH RD, WAYNE, WV 25570-8515
(304) 638-9834
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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