Individual
DENNIS SAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MANSFIELD AVE, SHELBY, OH 44875-1649
(419) 347-7427
Mailing address
112 MANSFIELD AVE, SHELBY, OH 44875-1649
(419) 347-7427
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2458737
INDIVIDUAL PROVIDER
OH
Enumeration date
07/27/2006
Last updated
07/08/2007
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