Individual
CYNTHIA A DEITERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 S OAK ST, OTTAWA, OH 45875-1835
(419) 615-8858
Mailing address
829 S OAK ST, OTTAWA, OH 45875-1835
(419) 615-8858
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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