Individual provider · Type 1 NPI

Stacy Marie Gantz

Student in an Organized Health Care Education/Training Program · Waldorf, MD

NPI number 1487231395 Active

Practice location

3 Post Office Rd Ste 105
Waldorf, MD 20602-2756

Call (301) 893-2345 Map

Mailing address

2944 Gracefield Rd
Silver Spring, MD 20904-1667

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1487231395

Stacy Marie Gantz's National Provider Identifier is 1487231395, issued on Mar 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waldorf, MD. The record was last updated on Mar 26, 2021.