Individual
IRIS ALISA JAVERSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 ARCH ST, AKRON, OH 44304-1429
(330) 375-7055
Mailing address
1895 W 52ND ST, CLEVELAND, OH 44102-3339
(330) 268-8604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006017RX
OH
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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