Individual
MRS. INESSA A DZHAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 RALPH CT NW, CANTON, OH 44708-4962
(330) 454-4689
(330) 454-4689
Mailing address
222 RALPH CT NW, CANTON, OH 44708-4962
(330) 454-4689
(330) 454-4689
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330945
—
OH
Enumeration date
05/02/2007
Last updated
07/09/2007
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