Individual
KRYSTIE ANGELA NICOLLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 YACAVONA ST, KENT, OH 44240-3317
(330) 281-2613
Mailing address
635 YACAVONA ST, KENT, OH 44240-3317
(330) 281-2613
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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