Individual
TAKESHA NICOLE WAITERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 25TH ST NW APT B7, CANTON, OH 44709-3950
(330) 209-8632
Mailing address
149 25TH ST NW APT B7, CANTON, OH 44709-3950
(330) 209-8632
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
RV066107
OH
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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