Individual
JOHNATHAN RIEGEL MORESEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
22856 SMITH NORTHWEST RD, ALLIANCE, OH 44601-8927
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.008632RX
OH
Other
Enumeration date
09/26/2023
Last updated
03/04/2024
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