Individual
MRS. KIMWANA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
822 S DIAMOND ST APT B, RAVENNA, OH 44266-3598
(216) 413-7292
Mailing address
822 S DIAMOND ST APT B, RAVENNA, OH 44266-3598
(216) 413-7292
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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