Individual
MRS. SUSIE M RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN M - IV
Contact information
Practice address
1283 LICKING VALLEY RD, NEWARK, OH 43055-8911
(740) 763-0066
Mailing address
1283 LICKING VALLEY RD, NEWARK, OH 43055-8911
(740) 763-0066
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
PN066345
OH
Other
Enumeration date
03/15/2011
Last updated
03/16/2011
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