Kendrayle Longshore

NPI #1922723683 in Canton, Ohio

Provider Information

NPI Number: 1922723683
Entity Type: Individual
Name: Kendrayle Longshore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 1341 MARGARET AVE SW
City: Canton
State: Ohio
ZIP Code: 44706-1741
Phone: (330) 481-7753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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