Individual
GARY CANTERBURY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30760 BRIAR RIDGE RD, LANGSVILLE, OH 45741-9742
(740) 395-7878
Mailing address
30760 BRIAR RIDGE RD, LANGSVILLE, OH 45741-9742
(740) 395-7878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
312916
OH
163W00000X
Registered Nurse
Primary
67327
WV
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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