Provider Demographics
NPI:1710589601
Name:CIOTOLA, MARY C
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:CIOTOLA
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 1:160 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2179
Mailing Address - Country:US
Mailing Address - Phone:330-534-3256
Mailing Address - Fax:
Practice Address - Street 1:160 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-2179
Practice Address - Country:US
Practice Address - Phone:330-534-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide