Individual
MR. DEREK NEIL COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6751 N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
Mailing address
6751 N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.139742.MEDS-IV
OH
Other
Enumeration date
12/06/2022
Last updated
12/07/2022
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