Individual
RACHEL LYNN BOCKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 YOUNGSTOWN KINGSVILLE RD, CORTLAND, OH 44410-9486
(330) 240-2670
Mailing address
2811 YOUNGSTOWN KINGSVILLE RD, CORTLAND, OH 44410-9486
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803343
—
OH
Enumeration date
09/12/2020
Last updated
09/12/2020
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