Individual
CHERYL COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 BROADWAY ST, YOUNGSTOWN, OH 44510-1415
(330) 550-0612
Mailing address
725 BROADWAY ST, YOUNGSTOWN, OH 44510-1415
(330) 550-0612
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RS222497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331058
—
OH
Enumeration date
06/13/2019
Last updated
06/13/2019
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