Individual
LATHYIA ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP, CNA
Contact information
Practice address
3901 EDGEMONT ST NW, CANTON, OH 44718-2619
(330) 445-6927
Mailing address
41 S WALNUT ST # 4, AKRON, OH 44303-2362
(330) 840-8780
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2947877422
—
OH
Enumeration date
12/03/2024
Last updated
12/03/2024
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