Individual
DAIJA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2818 MILLVALE AVE NE, CANTON, OH 44705-4854
(330) 415-1766
Mailing address
2818 MILLVALE AVE NE, CANTON, OH 44705-4854
(330) 415-1766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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