Individual
JEANA A FAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 WEIL AVE, AKRON, OH 44319-3048
(330) 715-8863
Mailing address
84 WEIL AVE, AKRON, OH 44319-3048
(330) 715-8863
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0097747
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097747
—
OH
Enumeration date
06/25/2014
Last updated
06/26/2014
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