person
Stacia Jean Ebelt
Student in an Organized Health Care Education/Training Program in Southgate, Michigan
NPI 1316721400

Stacia Jean Ebelt is a Student in an Organized Health Care Education/Training Program based in Davison, MI. Stacia Jean Ebelt practices in Southgate, MI. The NPI Number for Stacia Jean Ebelt is 1316721400 and holds a License No. (Michigan).

The current practice location address for Stacia Jean Ebelt is 13111 Allen Rd, Southgate, MI and can be reached out via phone at 734-785-7705.

Location: 13111 Allen Rd, Southgate, MI, 48423-8119
person
Provider Profile Details
NPI Number
1316721400
Provider Name
Stacia Jean Ebelt
Credential
Provider Entity Type
Individual
Gender
Female
Address
13111 Allen Rd, Southgate, MI, 48423-8119
Phone Number
734-785-7705
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13111 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7705
Fax Number
person
Provider Business Mailing Address Details
Address
13111 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7705
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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