Individual
ANNASTACA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 16TH ST NE, CANTON, OH 44705-1630
(234) 804-6842
Mailing address
1604 16TH ST NE, CANTON, OH 44705-1630
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353325
—
OH
Enumeration date
02/13/2023
Last updated
02/13/2023
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