Individual
CAROL JANICE PEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 ECHO RD, STOW, OH 44224-4615
(330) 688-9816
Mailing address
2005 ECHO RD, STOW, OH 44224-4615
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2929728
—
OH
Enumeration date
03/22/2012
Last updated
03/22/2012
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