Individual
EMMY TIRADO-VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 1/2 6TH ST SW, CANTON, OH 44710-1665
(440) 444-6389
Mailing address
3027 1/2 6TH ST SW, CANTON, OH 44710-1665
(440) 444-6389
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244414
—
OH
Enumeration date
08/02/2018
Last updated
08/02/2018
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