Individual
JERRY SILHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 PAIGE AVE NE, WARREN, OH 44483-4951
(330) 219-8604
Mailing address
730 PAIGE AVE NE, WARREN, OH 44483-4951
(330) 219-8604
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0001344
OH
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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