Individual
MRS. DAISY O HUFFAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 TIOGA TRAIL, WILLOUGHBY, OH 44094-7228
(440) 479-5672
Mailing address
723 TIOGA TRAIL, WILLOUGHBY, OH 44094-7228
(440) 479-5672
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192855
—
OH
Enumeration date
05/08/2018
Last updated
05/08/2018
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