Individual
ANDRE LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 WALLACE AVE SE, CANTON, OH 44707-2754
(330) 313-9096
Mailing address
421 WALLACE AVE SE, CANTON, OH 44707-2754
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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