Individual
JAVISEN MICHAEL WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1644 33RD ST NE, CANTON, OH 44714-1552
(330) 813-7204
Mailing address
1644 33RD ST NE, CANTON, OH 44714-1552
(330) 813-7204
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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