Charlie C Stacy

NPI #1013206374 in Rootstown, Ohio

Provider Information

NPI Number
1013206374
Entity Type
Individual
Name
Charlie C Stacy
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 6, 2011
Last Updated
Apr 6, 2011

Practice Location

Address
4014 BOWER RD
State
Ohio
ZIP Code
44272-9231
Phone
(330) 325-7636

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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