Individual
TIKISHA CONVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 17TH ST NE, CANTON, OH 44705-1264
(440) 529-4563
Mailing address
1125 17TH ST NE, CANTON, OH 44705-1264
(440) 529-4563
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400738830408
OH
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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