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Mrs. Khanisa Cunningham, CRC
Driver in Maumee, Ohio
NPI 1720747918

Khanisa Cunningham is a Driver based in Holland, OH. Khanisa Cunningham practices in Maumee, OH and has the professional credentials of CRC. The NPI Number for Khanisa Cunningham is 1720747918 and holds a License No. SL171281 (Ohio).

The current practice location address for Khanisa Cunningham is 715 Kingsbury St, Maumee, OH and can be reached out via phone at 937-219-3394 and via fax at 866-203-4192.

Location: 715 Kingsbury St, Maumee, OH, 43528-8197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720747918
Provider Name
Khanisa Cunningham
Credential
CRC
Provider Entity Type
Individual
Gender
Female
Address
715 Kingsbury St, Maumee, OH, 43528-8197
Phone Number
937-219-3394
Fax Number
866-203-4192
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
715 Kingsbury St
City
Maumee
State
Ohio
Zip
43537-1823
Phone Number
937-219-3394
Fax Number
866-203-4192
person
Provider Business Mailing Address Details
Address
715 Kingsbury St
City
Maumee
State
Ohio
Zip
43537-1823
Phone Number
937-219-3394
Fax Number
866-203-4192
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
SL171281 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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