Individual
PATRICIA ANN FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28235 CREOLA CEMETERY RD, CREOLA, OH 45622-8910
(740) 270-2738
Mailing address
28235 CREOLA CEMETERY RD, CREOLA, OH 45622-8910
(740) 270-2739
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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