Raven Boots

NPI #1881189900 in Mentor, Ohio

Provider Information

NPI Number
1881189900
Entity Type
Individual
Name
Raven Boots
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 30, 2018
Last Updated
Jun 30, 2018

Practice Location

Address
8445 MUNSON RD
City
Mentor
State
Ohio
ZIP Code
44060-2410
Phone
(440) 255-1700

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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