Individual
A'SHARAE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 WALDEN AVE NW, CANTON, OH 44703-1176
(330) 915-1054
Mailing address
1721 WALDEN AVE NW, CANTON, OH 44703-1176
(330) 915-1054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.492383
OH
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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