Individual
CANNIA E ST MARC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 E BROAD ST, WHITEHALL, OH 43213-1156
(614) 350-1970
Mailing address
4040 E BROAD ST, WHITEHALL, OH 43213-1156
(614) 350-1970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161514
OH
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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