Individual
GLEN ROBERT WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSING
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(844) 768-1193
Mailing address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
288701
OH
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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