Individual
ABIGAIL TATYANNA HADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7056 EGYPT PIKE, CHILLICOTHE, OH 45601-9078
(740) 701-0249
Mailing address
7056 EGYPT PIKE, CHILLICOTHE, OH 45601-9078
(740) 701-0249
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73204125
—
OH
Enumeration date
03/09/2022
Last updated
03/09/2022
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