Individual
CASSIDY NICOLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 N MAIN ST APT 349, DAYTON, OH 45415-3194
(937) 564-8912
Mailing address
2351 CEDAR HILL RD NW, CANAL WINCHESTER, OH 43110-9509
(937) 564-8912
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148623
—
OH
Enumeration date
05/19/2020
Last updated
09/17/2023
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