Ciara A Davenport, INDEPENDENT PROVIDER

NPI #1982262432 in Canton, Ohio

Provider Information

NPI Number: 1982262432
Entity Type: Individual
Name: Ciara A Davenport, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Credential: INDEPENDENT PROVIDER
Enumeration Date: May 30, 2019
Last Updated: May 30, 2019

Practice Location

Address: 809 GIBBS AVE NE
City: Canton
State: Ohio
ZIP Code: 44705-1009
Phone: (234) 348-9089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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