Individual
MRS. DONNA L PROVANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2187 25TH ST. S.W., AKRON, OH 44314-2201
(330) 697-2010
Mailing address
2187 25TH ST. S.W., AKRON, OH 44314-2201
(330) 697-2010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 015913
OH
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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