KASISI DANIELS PROVITT

YOUNGSTOWN, OH
NPI1881539914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  171318)
Enumeration Date2026-04-23
Last Update Date2026-04-23
Business Address
KASISI DANIELS PROVITT
3344 CASTALIA AVE
YOUNGSTOWN, OH 44505-4408
Phone number: 313-974-9521
Mailing Address
KASISI DANIELS PROVITT
3344 CASTALIA AVE
YOUNGSTOWN, OH 44505-4408
Phone number: