Individual
MRS. JWAUN R REDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BIRUTA ST, AKRON, OH 44307-1014
(330) 573-9302
Mailing address
1000 BIRUTA ST, AKRON, OH 44307-1014
(330) 573-7923
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400123640602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224338
—
OH
Enumeration date
09/25/2017
Last updated
09/25/2017
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