Individual
MISS TRACEY DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
413 GIBBS AVE NE, CANTON, OH 44704-1531
(330) 546-4231
Mailing address
413 GIBBS AVE NE, CANTON, OH 44704
(330) 546-4231
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401401230612
OH
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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