MRS. Khanisa Cunningham, CRC

NPI #1720747918 in Maumee, Ohio

Provider Information

NPI Number: 1720747918
Entity Type: Individual
Name: MRS. Khanisa Cunningham, CRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Credential: CRC
Enumeration Date: Dec 15, 2021
Last Updated: Dec 15, 2021

Practice Location

Address: 715 KINGSBURY ST
City: Maumee
State: Ohio
ZIP Code: 43537-1823
Phone: (937) 219-3394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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