STACEY BROCK

FAIRFIELD, OH
NPI1285370296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  APRN.CNP.0028636)
Enumeration Date2022-05-11
Last Update Date2023-06-22
Business Address
STACEY BROCK
3050 MACK RD STE 300
FAIRFIELD, OH 45014-5376
Phone number: 513-751-2273
Mailing Address
STACEY BROCK
3984 ROSEWOOD DRIVE
AMELIA, OH 45102
Phone number:
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