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Detra Antoine

NPI 1306204052 · on the registry since 2016

Practice

Address
1201 7th Ave
Akron, OH 44306
Phone
(330) 203-4283

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
3747P1801X
376J00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio