Individual
ALECIA DEFRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 WILKINSON AVE, YOUNGSTOWN, OH 44509-2152
(234) 855-1662
Mailing address
707 WILKINSON AVE, YOUNGSTOWN, OH 44509-2152
(234) 855-1662
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
0091132
OH
172V00000X
Community Health Worker
Primary
25770971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091132
—
OH
Enumeration date
01/10/2015
Last updated
01/10/2015
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