Individual
JAMIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 MELWOOD DR NE, WARREN, OH 44483-4437
(330) 507-9991
Mailing address
687 MELWOOD DR NE, WARREN, OH 44483-4437
(330) 507-9991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142583
OH
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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