Individual
DERLESHIA LACHELL WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
7611293 IN- PROVIDER
Contact information
Practice address
1502 19TH ST NE, CANTON, OH 44714-2106
(330) 245-8847
Mailing address
1502 19TH ST NE, CANTON, OH 44714-2106
(330) 245-8847
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
7611293
OH
376J00000X
Homemaker
7611293
OH
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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