Individual
SEAN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-5779
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710
(330) 363-5779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6432
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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