Individual
DAVIAN COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 VIENNA VIEW CT SW, CANTON, OH 44706-5629
(330) 313-6655
Mailing address
2809 VIENNA VIEW CT SW, CANTON, OH 44706-5629
(330) 313-6655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171015
OH
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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