Individual
MRS. MICHELLE LYN DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA/HHA
Contact information
Practice address
142 E WALNUT ST, WADSWORTH, OH 44281-1366
(330) 687-5742
Mailing address
142 E WALNUT ST, WADSWORTH, OH 44281-1366
(330) 687-5742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400321170104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495134
—
OH
Enumeration date
07/12/2006
Last updated
07/09/2007
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