Leia Janae Tavares

NPI #1124851431 in Canton, Ohio

Provider Information

NPI Number: 1124851431
Entity Type: Individual
Name: Leia Janae Tavares
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Aug 22, 2024
Last Updated: Sep 11, 2025

Practice Location

Address: 2730 DANUBE WAY SW
City: Canton
State: Ohio
ZIP Code: 44706-5660
Phone: (678) 984-0215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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