Individual
RUBY J WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
397 PARK AVE APT 110C, CHARDON, OH 44024-1362
(440) 285-4838
Mailing address
397 PARK AVE APT 110C, CHARDON, OH 44024-1362
(440) 285-4838
(144) 028-5483
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
CSW6082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2880100
—
OH
Enumeration date
02/11/2009
Last updated
02/11/2009
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