Individual
TOWONNDA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 17TH ST NW, CANTON, OH 44703-1043
(234) 499-0979
(234) 499-0979
Mailing address
1419 17TH ST NW, CANTON, OH 44703-1043
(234) 499-0979
(234) 499-0979
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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