Individual
MR. ANDREW DAVID ULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
31 W 11TH ST, DRESDEN, OH 43821-9653
(740) 221-0678
Mailing address
31 W 11TH ST, DRESDEN, OH 43821-9653
(740) 221-0678
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400444950105
OH
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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