Individual
CONSTANCE GILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 GOBEL AVE NE, CANTON, OH 44704-2148
(330) 412-4267
Mailing address
414 GOBEL AVE NE, CANTON, OH 44704-2148
(330) 412-4267
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023847
—
OH
Enumeration date
07/12/2016
Last updated
11/29/2023
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