Individual
ADENA LENORE BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
Mailing address
3049 25TH ST NW # 304925TH, CANTON, OH 44708-2435
(330) 312-1035
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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