Individual
CYNTHIA J COOK-CICHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLPN
Contact information
Practice address
16613 OLD STATE RD, MIDDLEFIELD, OH 44062-9139
(440) 632-5898
Mailing address
14155 CHARDON WINDSOR RD, CHARDON, OH 44024-8984
(440) 286-3080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN065534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102961837699
—
OH
Enumeration date
08/13/2006
Last updated
07/09/2007
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