SearchOhio374U00000X

Breonna Stanley

NPI 1306583224 · on the registry since 2022 · sole proprietor

Practice

Address
984 W Martin Ave
Amherst, OH 44001
Phone
(440) 308-5317

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio