Provider Demographics
NPI:1639925704
Name:POPE, RAJEAN
Entity type:Individual
Prefix:
First Name:RAJEAN
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 SANDAL PL NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-1678
Mailing Address - Country:US
Mailing Address - Phone:330-353-1583
Mailing Address - Fax:
Practice Address - Street 1:1318 SANDAL PL NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44704-1678
Practice Address - Country:US
Practice Address - Phone:330-353-1583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health