SONNIE PROVITT

TALLMADGE, OH
NPI1245915578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-06-15
Last Update Date2023-06-15
Business Address
SONNIE PROVITT
30 NORTHWEST AVE STE 120
TALLMADGE, OH 44278-1808
Phone number: 330-633-4187
Mailing Address
SONNIE PROVITT
1801 WATERMARK DR
COLUMBUS, OH 43215-7088
Phone number: