Individual
CEARA JAN'EE WILLOUGHBY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
288 DICKEY AVE NW, WARREN, OH 44485-2733
(330) 766-9950
Mailing address
288 DICKEY AVE NW, WARREN, OH 44485-2733
(330) 766-9950
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RZ534240
OH
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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