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Individual

MS. MICHELLE M CHAFFEE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
STNA/CNA

Contact information

Practice address
5872 MALLARD CT, MENTOR, OH 44060-1884
(440) 257-1966
Mailing address
5872 MALLARD CT, MENTOR, OH 44060-1884
(440) 257-1966

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2216177
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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