Individual
TEIAIRRA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3915 33RD ST NE, CANTON, OH 44705-4942
(330) 265-4559
Mailing address
3915 33RD ST NE, CANTON, OH 44705-4942
(330) 265-4559
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401913821116
OH
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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