Individual
MRS. AUTUMN LEE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
832 MCKINLEY AVE NW, CANTON, OH 44703-2463
(330) 452-9812
Mailing address
832 MCKINLEY AVE NW, CANTON, OH 44703-2463
(330) 452-9812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092507-M-IV
OH
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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