Individual
MS. DEBRA L DOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 28TH ST NW, CANTON, OH 44709-3212
(330) 933-4886
Mailing address
2008 28TH ST NW, CANTON, OH 44709-3212
(330) 933-4886
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400333120204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2477814
—
OH
Enumeration date
03/14/2007
Last updated
07/09/2007
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