Individual
CONNIE TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 RELLIM DR, KENT, OH 44240-3833
(330) 235-4604
Mailing address
211 RELLIM DR, KENT, OH 44240-3833
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6703268
OH
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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