Individual
BRIAN J O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
136 WESTCHESTER DR STE 5, AUSTINTOWN, OH 44515-3965
(330) 270-1400
(330) 270-1404
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-0276
(330) 759-0030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.178140.MEDS-IV
OH
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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