Individual
DENISE FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 COUNTY ROAD 1 LOT 59, SOUTH POINT, OH 45680-8107
(740) 479-7030
Mailing address
1173 COUNTY ROAD 1 LOT 59, SOUTH POINT, OH 45680-8107
(740) 479-7030
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019
—
OH
05
—
2771
—
OH
05
—
3054662
—
OH
Enumeration date
11/24/2020
Last updated
11/24/2020
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