Individual
LAKARLA TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 42ND ST NW, CANTON, OH 44709-1765
(330) 479-6060
Mailing address
1709 42ND ST NW, CANTON, OH 44709-1765
(330) 479-6060
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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