Individual
DEANNA CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11824 PLUM RIDGE ST, HIRAM, OH 44234-3419
(330) 592-4030
Mailing address
PO BOX 262, HIRAM, OH 44234-0262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.361697
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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