Individual
KATELYN ROSE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5592 BAYLOR AVE, YOUNGSTOWN, OH 44515-4102
(330) 509-1828
Mailing address
5592 BAYLOR AVE, YOUNGSTOWN, OH 44515-4102
(330) 509-1828
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0423022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000275115
—
OH
Enumeration date
11/12/2020
Last updated
11/12/2020
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