Individual
JAHZMON SEVILLE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 BLAKE AVE NW APT 33, CANTON, OH 44718-3464
(234) 804-9392
Mailing address
2701 BLAKE AVE NW APT 33, CANTON, OH 44718-3464
(234) 804-9392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN167053.MEDS-IV
OH
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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