Individual
JOHN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 BENNETT AVE, RAVENNA, OH 44266-3211
(330) 839-9966
Mailing address
310 BENNETT AVE, RAVENNA, OH 44266-3211
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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