Individual
LISA MARIE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 WORLEY AVE NW, CANTON, OH 44703-1558
(330) 705-0396
Mailing address
1227 WORLEY AVE NW, CANTON, OH 44703-1558
(330) 705-0396
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS251596
OH
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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