Individual
MARY-ALICE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
123456789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171MOOOOOX
—
OH
Enumeration date
04/26/2018
Last updated
04/26/2018
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