Individual
CHEYENNE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 PARK AVE, IRONTON, OH 45638-1525
(740) 550-4991
Mailing address
305 PARK AVE, IRONTON, OH 45638-1525
(740) 550-4991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
IR0974161
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378240
—
OH
Enumeration date
04/14/2022
Last updated
04/14/2022
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