Most Relevant Information
Provider Data
| NPI Number: | 1003316894 |
| Provider Name: | COURTNEY DIANE GOEBEL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2018 |
| Last Updated: | 02/18/2018 |
Provider Practice Location
4836 HIRAM AVE NW
WARREN
OH
444831302
Practice Location Phone/Fax
| Phone: | 3309806466 |
| Fax: |
Provider Mailing Location
4836 HIRAM AVE NW
WARREN
OH
444831302
Provider Mailing Phone/Fax
| Phone: | 3309806466 |
| Fax: |