Individual
LAUREN FAVORITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 EMERALD RD, PAULDING, OH 45879-9246
(419) 591-8988
Mailing address
742 EMERALD RD, PAULDING, OH 45879-9246
(419) 591-8988
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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