Individual
MRS. SARA MARIA WHITTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 W MAIN ST APT A, KENT, OH 44240-2258
(330) 842-2977
Mailing address
785 W MAIN ST APT A, KENT, OH 44240-2258
(330) 842-2977
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645954
—
OH
Enumeration date
04/10/2007
Last updated
07/09/2007
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