Individual
CHAVONNE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 ROXBURY AVE, YOUNGSTOWN, OH 44502-2541
(234) 855-4859
(234) 855-0630
Mailing address
834 ROXBURY AVE, YOUNGSTOWN, OH 44502-2541
(234) 855-4859
(234) 855-0630
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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