Individual
KIMBERLY SUE LARSON-PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 BEL AIR DR NW, NORTH CANTON, OH 44720-2203
(330) 280-0858
Mailing address
1025 BEL AIR DR NW, NORTH CANTON, OH 44720-2203
(330) 280-0858
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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