Provider Demographics
NPI:1477244192
Name:DOHANYOS, GRACE
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:DOHANYOS
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 1:10855 W SR 18
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-3334
Mailing Address - Country:US
Mailing Address - Phone:419-619-8069
Mailing Address - Fax:
Practice Address - Street 1:10855 W SR 18
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-3334
Practice Address - Country:US
Practice Address - Phone:419-619-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker