Individual
MRS. SHACOREY TYANTE' HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 CRANDALL AVE, YOUNGSTOWN, OH 44504-1710
(234) 855-9888
Mailing address
255 CRANDALL AVE, YOUNGSTOWN, OH 44504-1710
(234) 855-9888
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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