Individual
KATHARINE L DUNIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 AZALEA AVE NE, CANTON, OH 44705-2606
(234) 804-1279
Mailing address
3401 AZALEA AVE NE, CANTON, OH 44705-2606
(234) 804-1279
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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