Individual
MISS LINDA DIXON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 ELMSIDE ST, ALLIANCE, OH 44601-5541
(330) 680-4899
Mailing address
1405 ELMSIDE ST, ALLIANCE, OH 44601-5541
(330) 614-8279
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2457318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457318
—
OH
Enumeration date
07/11/2014
Last updated
07/11/2014
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