Individual
ERROLL LESLIE KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3017 SHELLY RD, RAVENNA, OH 44266-9415
(330) 388-9653
Mailing address
PO BOX 2395, STREETSBORO, OH 44241-0395
(330) 524-7259
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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