Individual
CHANELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 CHESTER AVE, AKRON, OH 44314-2555
(330) 990-6775
Mailing address
1190 CHESTER AVE, AKRON, OH 44314-2555
(330) 990-6775
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SY956136
OH
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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