Individual
MRS. KARENANN EDITH RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BGS
Contact information
Practice address
384 ASPEN DR, DOVER, OH 44622-9497
(330) 612-3605
(330) 364-3033
Mailing address
384 ASPEN DR, DOVER, OH 44622-9497
(330) 612-3605
(330) 364-3033
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
7910396
OH
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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