Individual
JESSIE SOEUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 746-7211
Mailing address
PO BOX 460, CANFIELD, OH 44406-0460
(330) 286-5330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.441758
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.441758
OH
Other
Enumeration date
07/24/2024
Last updated
06/19/2025
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