Siera Canzonetta
Case Manager/Care Coordinator in Ravenna, OH. Individual provider (NPI-1).
NPI number1982207544
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1982207544
- Entity type
- Individual (NPI-1)
- Name
- Siera Canzonetta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 13, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3920 Lovers LnRavenna, OH 44266-4200
Phone 330-676-8051
Mailing address
5982 Rhodes RdKent, OH 44240-8100
Phone 330-673-1347 · Fax 330-678-3677
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