Individual
UY TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 E MARKET ST, AKRON, OH 44304-1526
(330) 535-5318
Mailing address
370 E MARKET ST, AKRON, OH 44304-1526
(330) 535-5318
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RA.164222
OH
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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