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Individual

DEMETRIA RENAE HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5877 PORTAGE ST NW # NA, NORTH CANTON, OH 44720-6770
(330) 936-5577
Mailing address
4786 DRESSLER RD NW STE 173, CANTON, OH 44718-2555
(440) 661-7920

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
179251
OH
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/27/2022
Last updated
04/11/2024
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