Individual
KATE WECKERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 E MAIN ST, RAVENNA, OH 44266-3129
(330) 296-2851
Mailing address
1536 MELOY RD, KENT, OH 44240-4665
(330) 858-5149
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
TL202719
OH
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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