Individual
BOUTHYNA ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6613 GARDEN RD # 6613, MAUMEE, OH 43537-1228
(419) 559-1149
Mailing address
7923 WINDSOR WOOD CT, MAUMEE, OH 43537-8929
(419) 559-1149
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
08/16/2023
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