Individual
MELISSA MARIE KOTANICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MARKET ST, WARREN, OH 44481-1017
(330) 394-8831
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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