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Individual

MS. KRISTA DAWNELLE HEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
620 23RD ST NW, CANTON, OH 44709-3878
(234) 281-8794
Mailing address
620 23RD ST NW, CANTON, OH 44709-3878
(234) 281-8794

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
RP608396
OH
251X00000X
Supports Brokerage Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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