Individual
MRS. DANIELLE RENEE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 N HAZELWOOD AVE, YOUNGSTOWN, OH 44509-2302
(330) 261-3468
Mailing address
59 N HAZELWOOD AVE, YOUNGSTOWN, OH 44509-2302
(330) 261-3468
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0152742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152742
—
OH
01
—
5005238
DODD
OH
Enumeration date
09/14/2020
Last updated
09/14/2020
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