Individual
TY'ANNA JALESE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 VALDES AVE, AKRON, OH 44320-2635
(330) 701-8078
Mailing address
1029 VALDES AVE, AKRON, OH 44320-2635
(330) 701-8078
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77954378
—
OH
Enumeration date
10/17/2022
Last updated
10/21/2022
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