Provider Demographics
NPI:1407995905
Name:CEDILLO, DENISE DAWN
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:DAWN
Last Name:CEDILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7790 TRACY RD SE
Mailing Address - Street 2:
Mailing Address - City:UHRICHSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44683
Mailing Address - Country:US
Mailing Address - Phone:740-922-4968
Mailing Address - Fax:
Practice Address - Street 1:7790 TRACY RD SE
Practice Address - Street 2:
Practice Address - City:UHRICHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44683-6324
Practice Address - Country:US
Practice Address - Phone:740-922-4968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide