Kristen Iannicca

NPI #1588442560 in Parma, Ohio

Provider Information

NPI Number: 1588442560
Entity Type: Individual
Name: Kristen Iannicca
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 20, 2023
Last Updated: Sep 20, 2023

Practice Location

Address: 7356 BERESFORD AVE
City: Parma
State: Ohio
ZIP Code: 44130-5060
Phone: (951) 390-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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