Individual
MISS CARYN PATRICIA FLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 BLUEBERRY AVE NW, APT 77, CANTON, OH 44709-1312
(419) 575-5723
Mailing address
4705 BLUEBERRY AVE NW, APT 77, CANTON, OH 44709-1312
(419) 575-5723
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2659430
—
OH
Enumeration date
08/14/2006
Last updated
07/08/2007
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