Individual
OCTAVIA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 DETROIT AVE, YOUNGSTOWN, OH 44502-2812
(234) 367-4236
Mailing address
1142 DETROIT AVE, YOUNGSTOWN, OH 44502-2812
(234) 367-4236
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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