Individual
JENNA STAIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2641
(330) 489-1000
Mailing address
5409 OAKES RD, BRECKSVILLE, OH 44141-2624
(440) 465-1726
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000373
OH
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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