Individual
CHASTA DANIELLE FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MCCREA AVE, DENNISON, OH 44621-1651
(234) 517-9577
Mailing address
209 MCCREA AVE, DENNISON, OH 44621-1651
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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