Individual
EBONY TORRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2346 8TH ST NE, CANTON, OH 44704-2222
(330) 412-3782
Mailing address
2346 8TH ST NE, CANTON, OH 44704-2222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.165769.MEDS-IV
OH
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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