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Stacy Marie Gantz
Student in an Organized Health Care Education/Training Program in Waldorf, Maryland
NPI 1487231395

Stacy Marie Gantz is a Student in an Organized Health Care Education/Training Program based in Silver Spring, MD. Stacy Marie Gantz practices in Waldorf, MD. The NPI Number for Stacy Marie Gantz is 1487231395 and holds a License No. (Maryland).

The current practice location address for Stacy Marie Gantz is 3 Post Office Rd Ste 105, Waldorf, MD and can be reached out via phone at 301-893-2345.

Location: 3 Post Office Rd Ste 105, Waldorf, MD, 20904-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487231395
Provider Name
Stacy Marie Gantz
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Post Office Rd Ste 105, Waldorf, MD, 20904-1667
Phone Number
301-893-2345
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Post Office Rd Ste 105
City
Waldorf
State
Maryland
Zip
20602-2756
Phone Number
301-893-2345
Fax Number
person
Provider Business Mailing Address Details
Address
3 Post Office Rd Ste 105
City
Waldorf
State
Maryland
Zip
20602-2756
Phone Number
301-893-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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