Individual
ANGELA DISMUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3094 W MARKET ST STE 343, FAIRLAWN, OH 44333-3618
(234) 334-5589
Mailing address
3094 W MARKET ST STE 343, FAIRLAWN, OH 44333-3618
(234) 334-5589
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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