Most Relevant Information
Provider Data
| NPI Number: | 1003410630 |
| Provider Name: | NARDOS DEJENE STREET |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/24/2020 |
| Last Updated: | 11/24/2020 |
Provider Practice Location
3860 N GLENRIDGE RD
AKRON
OH
443193614
Practice Location Phone/Fax
| Phone: | 3303217142 |
| Fax: |
Provider Mailing Location
3860 N GLENRIDGE RD
AKRON
OH
443193614
Provider Mailing Phone/Fax
| Phone: | 3303217142 |
| Fax: |