Individual
KATHY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 9TH ST NE, MASSILLON, OH 44646-5747
(330) 809-3689
Mailing address
719 9TH ST NE, MASSILLON, OH 44646-5747
(330) 809-3698
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401892460816
OH
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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