Individual
ENSLEY THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 AUTUMN DR NW, WARREN, OH 44485-2032
(330) 469-4707
Mailing address
1408 AUTUMN DR NW, WARREN, OH 44485-2032
(330) 469-4707
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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