Individual
MR. STEPHEN NELSON OLUICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 ARDMORE AVE SW, CANTON, OH 44710-2145
(330) 323-1801
Mailing address
2506 16TH ST NE, CANTON, OH 44705-2031
(330) 268-8832
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
ST130327
OH
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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