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Spencer Alexander Daddario
Student in an Organized Health Care Education/Training Program in Stow, Ohio
NPI 1609331388

Spencer Alexander Daddario is a Student in an Organized Health Care Education/Training Program based in Stow, OH. Spencer Alexander Daddario practices in Stow, OH. The NPI Number for Spencer Alexander Daddario is 1609331388 and holds a License No. (Ohio).

The current practice location address for Spencer Alexander Daddario is 2723 Serra Vista Dr, Stow, OH and can be reached out via phone at 330-858-7473.

Location: 2723 Serra Vista Dr, Stow, OH, 44224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609331388
Provider Name
Spencer Alexander Daddario
Credential
Provider Entity Type
Individual
Gender
Male
Address
2723 Serra Vista Dr, Stow, OH, 44224
Phone Number
330-858-7473
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2723 Serra Vista Dr
City
Stow
State
Ohio
Zip
44224-1615
Phone Number
330-858-7473
Fax Number
person
Provider Business Mailing Address Details
Address
2723 Serra Vista Dr
City
Stow
State
Ohio
Zip
44224-1615
Phone Number
330-858-7473
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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