Individual
JEANISE MONIFA NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 BREADEN ST, YOUNGSTOWN, OH 44502-1626
(330) 766-0504
Mailing address
436 BREADEN ST, YOUNGSTOWN, OH 44502-1626
(330) 766-0504
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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