Individual
LINDA DETAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-9690
(330) 484-9607
Mailing address
3057 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-9690
(330) 484-9607
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN. 154135
OH
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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