Individual
MRS. DEBORAH ANN PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 DIANA AVE, AKRON, OH 44307-1359
(330) 434-0852
(330) 434-5114
Mailing address
942 DIANA AVE, AKRON, OH 44307-1359
(330) 434-0852
(330) 434-5114
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374UOOOOOX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459196
—
OH
Enumeration date
05/21/2007
Last updated
07/09/2007
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