Individual
DOMINIC CICCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8095 BRICKER RD NW, MASSILLON, OH 44646-9360
(330) 754-7404
Mailing address
5862 PORTAGE ST NW, NORTH CANTON, OH 44720-6750
(330) 754-7404
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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