Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35.133094 | OH |
NPI | 1164618021 |
---|---|
Provider Name | Dr. Nancy L. Cloak |
First Address | Sandusky, OH 44870-4029 |
Second Address | Sandusky, OH 44870-4029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 20/05/2020 |