Individual
REBECCA DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3683 WARREN SHARON RD, VIENNA, OH 44473-9534
(330) 979-1879
Mailing address
3683 WARREN SHARON RD, VIENNA, OH 44473-9534
(330) 979-1879
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/22/2014
Last updated
06/22/2014
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