Individual
ANDREW RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 CALABOONE RD, DOYLESTOWN, OH 44230-1482
(216) 640-6775
Mailing address
6781 AMSEL AVE NE, CANTON, OH 44721-2606
(216) 640-6775
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
7611231
OH
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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