Individual
CYREATHEA LA'TRICE HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1357 SCOVILLE AVE SW, CANTON, OH 44706-5231
(330) 412-6351
Mailing address
1357 SCOVILLE AVE SW, CANTON, OH 44706-5231
(330) 412-6351
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401392410512
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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