MS. Kelly Diane Marks

NPI #1295340701 in Canton, Ohio

Provider Information

NPI Number: 1295340701
Entity Type: Individual
Name: MS. Kelly Diane Marks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Sep 11, 2020
Last Updated: Sep 11, 2020

Practice Location

Address: 3145 STANDISH AVE SW
City: Canton
State: Ohio
ZIP Code: 44706-3250
Phone: (330) 224-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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