Individual
NIKKIESHA DOMINIQUE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 HENRY AVE SW, CANTON, OH 44706-2939
(330) 209-9558
Mailing address
1813 HENRY AVE SW, CANTON, OH 44706-2939
(330) 209-9558
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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