Individual
KRISTEN MAYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1579 COUNTRY CLUB AVE, YOUNGSTOWN, OH 44514-1104
(330) 402-7003
Mailing address
1579 COUNTRY CLUB AVE, BOARDMAN, OH 44512
(330) 402-7003
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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