Individual
MISS ELLEN LUISE OBITZ-BOSSART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2950 WHIPPLE AVE NW, CANTON, OH 44708-1534
(330) 477-5200
Mailing address
1620 21ST ST NW, CANTON, OH 44709
(330) 904-8415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN229930
OH
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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