Individual
MS. ILEANA ANCA GREAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 456-2695
Mailing address
1864 HOLLYTHORNE RD NE, CANTON, OH 44721-3848
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072648
PHYS ASST. CERIFICATION
OH
01
—
2567
PHYS ASST. LICENSE
OH
Enumeration date
03/06/2007
Last updated
07/20/2010
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