Individual
ASHALA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 SPRING AVE NE, CANTON, OH 44714-2347
(330) 209-4554
Mailing address
1629 SPRING AVE NE, CANTON, OH 44714-2347
(330) 209-4554
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400902080409
OH
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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