Individual
DAWN MICHELLE ELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10335 CARDALE ST SW, BEACH CITY, OH 44608-9764
(330) 268-8420
Mailing address
10335 CARDALE ST SW, BEACH CITY, OH 44608-9764
(330) 268-8420
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400231050403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224348
—
OH
Enumeration date
02/22/2018
Last updated
02/22/2018
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