Individual
MS. CATHERINE DANA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5321 JOHNNYCAKE RIDGE NE, CANTON, OH 44705
(330) 575-9420
Mailing address
5321 JOHNNYCAKE RDG NE, CANTON, OH 44705-3067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.421934
OH
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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