Individual
MRS. KIM DENISE MENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
578 WOODSIDE AVE, YOUNGSTOWN, OH 44505-3551
(330) 519-5761
Mailing address
578 WOODSIDE AVE, YOUNGSTOWN, OH 44505-3551
(330) 519-5761
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
400790220808
OH
376K00000X
Nurse's Aide
Primary
400790220808
OH
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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