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Individual

CANDACE R MASIELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2795 SWEET FLAG WAY, STOW, OH 44224
(330) 753-3959
Mailing address
1894 SPRINGFIELD LAKE BLVD, APT 204, AKRON, OH 44312-3083
(330) 798-0486

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2415256
OH
Enumeration date
05/02/2007
Last updated
07/08/2007
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