IAN CHRISTOPHER MODD

MASSILLON, OH
NPI1629845516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
IAN CHRISTOPHER MODD
1607 WINDSOR RD NE
MASSILLON, OH 44646-4175
Phone number: 234-207-1698
Mailing Address
IAN CHRISTOPHER MODD
1607 WINDSOR RD NE
MASSILLON, OH 44646-4175
Phone number: