Individual
CHANTEL DOMINIQUE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 588-2212
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.147435
OH
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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