Individual
SAVANNA LEE MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2763 HENLEY COMSTOCK RD, OTWAY, OH 45657-9076
(740) 464-6002
Mailing address
2763 HENLEY COMSTOCK RD, OTWAY, OH 45657-9076
(740) 464-6002
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401623480314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401623480314
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
05/02/2015
Last updated
05/02/2015
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