Katrina Jean Canada, INDEPENDENT PROVIDER

NPI #1447865548 in Marion, Ohio

Provider Information

NPI Number: 1447865548
Entity Type: Individual
Name: Katrina Jean Canada, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: INDEPENDENT PROVIDER
Enumeration Date: Sep 15, 2020
Last Updated: Feb 17, 2024

Practice Location

Address: 288 ROSE AVE
City: Marion
State: Ohio
ZIP Code: 43302-2844
Phone: (419) 617-2190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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