Individual
CHAUNTIA DIMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6005 SOM CENTER RD, WILLOUGHBY, OH 44094-9646
(440) 946-7252
Mailing address
6005 SOM CENTER RD, WILLOUGHBY, OH 44094-9646
(440) 946-7252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
026169
OH
Other
Enumeration date
01/14/2020
Last updated
05/21/2021
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