Individual
BETH PHILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 WHIPPLE AVE SW, CANTON, OH 44710-1316
(330) 705-0938
Mailing address
1114 WHIPPLE AVE SW, CANTON, OH 44710-1316
(330) 705-0938
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RJ047975
OH
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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