Individual
JACLYN MARIE KOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5581 MIDDLEBRANCH AVE NE, CANTON, OH 44721-3454
(330) 704-2881
Mailing address
5581 MIDDLEBRANCH AVE NE, CANTON, OH 44721-3454
(330) 704-2881
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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