Individual
DEANNA HARTSHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 GEM CIR NE, CANTON, OH 44721-1766
(330) 371-4122
Mailing address
2442 GEM CIR NE, CANTON, OH 44721-1766
(330) 371-4122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 132013 IV
OH
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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