Individual
DWAYNE EDWARD SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2364 ZIRCON ST NE, CANTON, OH 44721-1741
(330) 685-2201
Mailing address
2364 ZIRCON ST NE, CANTON, OH 44721-1741
(330) 685-2201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7611149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7611149
OHIO DODD
OH
Enumeration date
12/16/2021
Last updated
12/16/2021
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