Organization
DUNAMIS AUXANO LLC
Active
Other names
Family Health and Healing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELE P MARSH NP (CERTIFIED NURSE PRACTITIONER)
(419) 994-0212
Entity
Organization
Contact information
Practice address
121 W MAIN ST, LOUDONVILLE, OH 44842-1247
(419) 994-0212
(419) 994-0215
Mailing address
121 W MAIN ST, LOUDONVILLE, OH 44842-1247
(419) 994-0212
(419) 994-0215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091238
—
OH
Enumeration date
11/18/2013
Last updated
11/18/2013
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