Individual
MAGGIE CRUIKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
276 ESSEX PL, PATASKALA, OH 43062-7561
(740) 817-2530
Mailing address
276 ESSEX PL, PATASKALA, OH 43062-7561
(740) 817-2530
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
4506161
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4506161
—
OH
Enumeration date
11/10/2020
Last updated
11/10/2020
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