Individual
OCTAVIA MARIE SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 SHERRICK RD SE, CANTON, OH 44707-3527
(330) 417-6669
Mailing address
942 SHERRICK RD SE, CANTON, OH 44707-3527
(330) 417-6669
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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