NPI 1124851431
Leia Janae Tavares
Practice location
- Address
- 2730 Danube Way SW, Canton, OH 44706-5660
- Phone
- (678) 984-0215
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1124851431
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Aug 2024
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.