Individual
MS. CAROLYN DENISE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1600 MARS HILL DR APT B, WEST CARROLLTON, OH 45449-3128
(937) 287-4482
Mailing address
1600 MARS HILL DR APT B, WEST CARROLLTON, OH 45449-3128
(937) 287-4482
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
376954841197
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376954841197
STATE OF OHIO NURSE AIDE REGISTRY
OH
Enumeration date
07/17/2012
Last updated
07/17/2012
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