Individual
MISS CARRIE RENEE CASSISDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 UTAH CT NW, CANTON, OH 44709-3732
(330) 685-0249
Mailing address
2122 UTAH CT NW, CANTON, OH 44709-3732
(330) 685-0249
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RL543721
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276852
—
OH
Enumeration date
12/15/2020
Last updated
12/15/2020
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