Individual
KEIASHA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 CLARENCEDALE AVE, YOUNGSTOWN, OH 44512-1212
(330) 281-6805
Mailing address
146 CLARENCEDALE AVE, YOUNGSTOWN, OH 44512-1212
(330) 281-6805
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501016450905
OH
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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