Provider Demographics
NPI:1285253435
Name:DUBOSE, TIONNA BERNICE (CHHA)
Entity type:Individual
Prefix:MRS
First Name:TIONNA
Middle Name:BERNICE
Last Name:DUBOSE
Suffix:
Gender:F
Credentials:CHHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 SCHILLER AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3023
Mailing Address - Country:US
Mailing Address - Phone:330-431-5461
Mailing Address - Fax:
Practice Address - Street 1:713 SCHILLER AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3023
Practice Address - Country:US
Practice Address - Phone:330-431-5461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health