Individual
NICKIE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 VALDES AVE, AKRON, OH 44320-1744
(330) 734-5724
Mailing address
812 VALDES AVE, AKRON, OH 44320-1744
(330) 734-5724
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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