Individual
CHERYL GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12091 BYERS AVE NE, HARTVILLE, OH 44632-9724
(133) 093-3888
Mailing address
12091 BYERS AVE NE, HARTVILLE, OH 44632-9724
(133) 093-3888
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
0142056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142056
—
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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