Rasheda Provitt

NPI #1467053900 in Niles, Ohio

Provider Information

NPI Number: 1467053900
Entity Type: Individual
Name: Rasheda Provitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Nov 2, 2020
Last Updated: Nov 2, 2020

Practice Location

Address: 1021 BELLAIR CT APT 9
City: Niles
State: Ohio
ZIP Code: 44446-1080
Phone: (330) 219-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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