Stacey D Collins
Homemaker in Gahanna, OH. Individual provider (NPI-1).
NPI number1740995711
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1740995711
- Entity type
- Individual (NPI-1)
- Name
- Stacey D Collins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2023
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 172A00000X | Driver | TT380983 | OH |
Practice location
801 Riva Ridge BlvdGahanna, OH 43230-1803
Phone 614-537-5578
Mailing address
801 Riva Ridge BlvdGahanna, OH 43230-1803
Phone 614-537-5578
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