Tracey Judith Latia Senior, STNA
Nurse's Aide in Canton, OH. Individual provider (NPI-1).
NPI number1619708260
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1619708260
- Entity type
- Individual (NPI-1)
- Name
- Tracey Judith Latia Senior
- Credential
- STNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 602837170524 | OH | Yes |
Practice location
4104 Orchard Dale Dr Nw Apt NCanton, OH 44709-2095
Phone 716-510-4216
Mailing address
4104 Orchard Dale Dr Nw Apt NCanton, OH 44709-2095
Phone 716-510-4216
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All 58 Nurse's Aide providers in Canton · All 7,232 providers in Canton
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