Individual
ANDREA M SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CARRIAGE LN APT 101, CANFIELD, OH 44406-1502
(330) 533-2422
Mailing address
115 CARRIAGE LN APT 101, CANFIELD, OH 44406-1502
(330) 533-2422
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2720470
—
OH
Enumeration date
04/02/2008
Last updated
04/02/2008
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