Individual
DAVID WARREN BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 DUFFUS RD NE, WARREN, OH 44484-1105
(330) 856-5730
Mailing address
1624 DUFFUS RD NE, WARREN, OH 44484-1105
(330) 856-5730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
084429
OH
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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