Individual
ANNEMARIE SUPPAN-DUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 BENTON ST, BARBERTON, OH 44203-7423
(330) 825-7457
Mailing address
1330 BENTON ST, BARBERTON, OH 44203-7423
(330) 825-7457
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364320
—
OH
01
—
612462126
ODA
OH
Enumeration date
08/27/2019
Last updated
08/27/2019
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