Individual
DESTINEE F ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 E DEWEY AVE, YOUNGSTOWN, OH 44502-2340
(234) 228-3122
Mailing address
856 E DEWEY AVE, YOUNGSTOWN, OH 44502-2340
(234) 228-3122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
UT166040
OH
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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