Individual
CALSANDRA A MARINCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
630 21ST ST NW, CANTON, OH 44709-3869
(330) 309-3341
(330) 437-3717
Mailing address
630 21ST ST NW, CANTON, OH 44709-3869
(330) 309-3341
(330) 437-3717
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW.000462
OH
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090980
—
OH
Enumeration date
07/15/2014
Last updated
05/17/2017
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