Individual
DAISARA GLADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 EDMEYER CT, AKRON, OH 44306-3721
(234) 718-1133
Mailing address
1099 EDMEYER CT, AKRON, OH 44306-3721
(786) 899-6390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-1002110
IRS
OH
Enumeration date
04/01/2021
Last updated
06/06/2021
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