Individual
THERESA WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 7TH ST NW, CANTON, OH 44703-2923
(336) 740-0358
Mailing address
1411 7TH ST NW, CANTON, OH 44703-2923
(336) 740-0358
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
001094
OH
376K00000X
Nurse's Aide
401957970417
OH
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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