Individual
DAISY IRENE HUNTER-IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
824 FULTON RD NW, CANTON, OH 44703-2351
(330) 452-4846
Mailing address
824 FULTON RD NW, CANTON, OH 44703-2351
(330) 452-4846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
110682
OH
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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