Individual
MEGAN VIRGINIA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3827 31ST ST NE, CANTON, OH 44705-4219
(330) 452-2345
Mailing address
3827 31ST ST NE, CANTON, OH 44705-4219
(330) 452-2345
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401165191110
OH
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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