Individual
AKEVA EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 PARK AVE SW, CANTON, OH 44706-5130
(330) 415-1773
Mailing address
1022 PARK AVE SW, CANTON, OH 44706-5130
(330) 415-1773
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
189963
OH
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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