Individual
CHANON DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 ASPEN RIDGE DR, BLACKLICK, OH 43004-7039
(614) 515-1077
Mailing address
PO BOX 13, BLACKLICK, OH 43004-0013
(614) 515-1077
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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