Search › Ohio › 363LF0000X

Jacqulyn Stachowiak

NPI 1073068896 · on the registry since 2016

Practice

Address
27076 Bagley Road
Olmsted Twp, OH 44138
Phone
(440) 816-8380
Fax
(440) 816-8383

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio