Individual
JUANITA NICOLE SURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 7TH ST NW, CANTON, OH 44708-4303
(330) 371-8114
Mailing address
2225 7TH ST NW, CANTON, OH 44708-4303
(330) 371-8114
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
601951840524
OH
Other
Enumeration date
03/29/2025
Last updated
04/01/2025
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