Individual
MRS. JANICE MAE PROVCHY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
I.P.
Contact information
Practice address
3165 OSER RD, NORTON, OH 44203-5618
(330) 825-1691
Mailing address
93 FERNWOOD AVE, BARBERTON, OH 44203-1311
(330) 753-2304
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191962
—
OH
Enumeration date
05/28/2006
Last updated
07/09/2007
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