Individual
MISS ASHLEY FAITHLYN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6136 CEDAR LN NW, CANTON, OH 44708-1156
(330) 323-0019
Mailing address
6136 CEDAR LN NW, CANTON, OH 44708-1156
(330) 323-0019
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314983
—
OH
Enumeration date
11/02/2018
Last updated
11/02/2018
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