Individual
ALLYSSA M HAGENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3382 CHURCHILL DOWNS, STOW, OH 44224-5809
(330) 328-5186
Mailing address
3382 CHURCHILL DOWNS, STOW, OH 44224-5809
(330) 328-5186
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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