Individual
SAMANTHA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 SYCAMORE ST, ELYRIA, OH 44035-4049
(216) 323-5568
Mailing address
645 SYCAMORE ST, ELYRIA, OH 44035-4049
(216) 323-5568
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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