Individual
LEONARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27057 GLENSIDE LN, OLMSTED TWP, OH 44138-3170
(440) 508-0004
Mailing address
27057 GLENSIDE LN, OLMSTED TWP, OH 44138-3170
(440) 508-0004
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
47-2299390
OH
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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