Individual
CINNAMON R GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E WASHINGTON ST STE 130, MEDINA, OH 44256-3327
(330) 952-3554
Mailing address
410 LAFAYETTE RD UNIT 17, MEDINA, OH 44256-3706
(330) 952-3554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.025288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327081-0001
BWC
OH
Enumeration date
03/27/2021
Last updated
03/27/2021
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