Individual
MISS DANIELLE MACKENZIE HAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 LYNTZ TOWNLINE RD SW, WARREN, OH 44481-9213
(330) 717-7687
Mailing address
133 FOLSOM ST NW, WARREN, OH 44483-1909
(330) 240-2533
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602435050122
OH
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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