Individual
DIONNE NIKOLE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
816 WINDSOR ST, MARION, OH 43302-6262
(740) 244-6106
Mailing address
313 SUPERIOR AVE, MANSFIELD, OH 44902-7750
(740) 223-9247
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401499130313
OH
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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