Individual
CARRIE REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(844) 768-0107
Mailing address
3631 HOMESTEAD RD, RAVENNA, OH 44266-9528
(330) 592-3773
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
111427
OH
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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