Individual
SONJA LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 COMMERCE DRIVE NW, CARROLLTON, OH 44615-0185
(330) 627-1900
(330) 627-1088
Mailing address
2205 COMMERCE DRIVE NW, P.O. BOX 185, CARROLLTON, OH 44615
(330) 627-1900
(330) 627-1088
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
34600519
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346000519
—
OH
Enumeration date
05/25/2016
Last updated
05/25/2016
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