Individual
STEPHEN BEZILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
Mailing address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0207008
OH
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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