Stanley Secrist

NPI #1245826189 in Mansfield, Ohio

Provider Information

NPI Number: 1245826189
Entity Type: Individual
Name: Stanley Secrist
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 15, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 1825 NOTTINGHAM CT
City: Mansfield
State: Ohio
ZIP Code: 44904-1784
Phone: (419) 564-3079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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