Individual
ANDREA CAVENDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 PROSPECT ST, LODI, OH 44254-1431
(330) 485-3072
Mailing address
203 PROSPECT ST, LODI, OH 44254-1431
(330) 485-3072
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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