Individual
JATWAN DAKARR LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1463 HOLLY AVE, AKRON, OH 44301-2110
(234) 281-5672
Mailing address
1463 HOLLY AVE, AKRON, OH 44301-2110
(234) 281-5672
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
OH
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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