Individual
ELIZABETH NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
981 NEIL CIR N, MANSFIELD, OH 44903-7699
(567) 215-3675
Mailing address
1801 GASCHE ST APT C15, WOOSTER, OH 44691-2494
(567) 215-3675
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0201508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201508
—
OH
Enumeration date
06/24/2022
Last updated
06/24/2022
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