Individual
CEANNA MARIE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 PROMENADE BLVD APT 38, BEAVERCREEK, OH 45431-2380
(715) 575-5803
Mailing address
4015 PROMENADE BLVD APT 38, BEAVERCREEK, OH 45431-2380
(715) 575-5803
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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