Organization
LILLIBONN
Active
Other names
Health Source of Boardman
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELIZABETH RICE DC (OWNER)
(334) 318-7307
Entity
Organization
Contact information
Practice address
6775 APPLEWOOD BLVD, BOARDMAN, OH 44512-4940
(330) 758-2353
(330) 758-9733
Mailing address
6775 APPLEWOOD BLVD, BOARDMAN, OH 44512-4940
(330) 758-2353
(330) 758-9733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
DC05023
OH
Enumeration date
03/18/2021
Last updated
08/12/2021
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