Individual
LISA M KIBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 CLARE RD, ONTARIO, OH 44906-1348
(419) 565-8645
Mailing address
191 CLARE RD, ONTARIO, OH 44906-1348
(419) 565-8645
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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