Individual
DIANNE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 453-8252
(330) 453-6716
Mailing address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 453-8252
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092539MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901131
—
OH
Enumeration date
04/02/2014
Last updated
04/02/2014
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