Antoniya Brock, Diploma
Community Health Worker in Youngstown, OH. Individual provider (NPI-1).
NPI number1275176752
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1275176752
- Entity type
- Individual (NPI-1)
- Name
- Antoniya Brock
- Credential
- Diploma
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
238 S Meridian RdYoungstown, OH 44509-2925
Phone 330-318-3436
Mailing address
238 S Meridian RdYoungstown, OH 44509-2925
Phone 330-318-3436
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