Individual
DOMENIC JOSEPH CANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
(419) 841-1691
Mailing address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
(419) 841-1691
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030043
OH
Other
Enumeration date
10/22/2021
Last updated
06/27/2024
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