Individual
AMY CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W RAVENWOOD AVE, YOUNGSTOWN, OH 44511-3229
(234) 855-3665
Mailing address
525 W RAVENWOOD AVE, YOUNGSTOWN, OH 44511-3229
(234) 855-3665
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083040
—
OH
Enumeration date
07/02/2015
Last updated
07/02/2015
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