Individual
MRS. HIAM JOSEPH HUMPHRYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 CARSON RD, FAIRLAWN, OH 44333-3801
(330) 247-8286
Mailing address
2521 CARSON RD, FAIRLAWN, OH 44333-3801
(330) 247-8286
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127573
—
OH
Enumeration date
03/11/2020
Last updated
03/11/2020
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