Individual
MS. DOROTHY ANN FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 N HURON ST, APT. 1, TOLEDO, OH 43604-2064
(419) 407-0408
(419) 243-7147
Mailing address
1326 N HURON ST APT 1, TOLEDO, OH 43604-2064
(419) 407-0408
(419) 243-7147
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4083065
—
OH
Enumeration date
11/20/2007
Last updated
11/20/2007
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