Ravon L. Wise
Home Health Aide in Canton, OH. Individual provider (NPI-1).
NPI number1043861982
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1043861982
- Entity type
- Individual (NPI-1)
- Name
- Ravon L. Wise
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2019
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1130 12th St NeCanton, OH 44705-1120
Phone 330-495-8090
Mailing address
1130 12th St NeCanton, OH 44705-1120
Phone 330-495-8090
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All 267 Home Health Aide providers in Canton · All 7,232 providers in Canton
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