Individual provider · NPI-1
Siritha Danelle Cunningham
Chore Provider · Toledo, OH
NPI number1801374293
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1801374293
- Entity type
- Individual (NPI-1)
- Name
- Siritha Danelle Cunningham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2018
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
800 Division St Apt 118Toledo, OH 43604-8432
Phone 567-249-7284
Mailing address
395 Belmont AveneToledo, OH 43604
Phone 419-214-4044
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