Individual
MRS. CINDI RENEA DAGENHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2851 HIGHVIEW AVE SW, CANTON, OH 44706
(330) 484-2987
Mailing address
275 S MAIN ST, MAGNOLIA, OH 44643-9546
(330) 866-2164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN083338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371768
—
OH
Enumeration date
08/07/2006
Last updated
07/09/2007
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