Individual
MRS. JILL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2818 LONG AVE NE, CANTON, OH 44705-4841
(330) 313-8175
Mailing address
715 WESTERN AVE SW, CANTON, OH 44710-1249
(330) 479-9561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584805
—
OH
Enumeration date
04/03/2007
Last updated
07/09/2007
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