Individual
MARYANN LOUTZENHISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 MAIN AVE, ASHTABULA, OH 44004-6929
(440) 992-8552
(440) 992-6631
Mailing address
PO BOX 291, 2857 WINNER RD, CLARK, PA 16113
(724) 962-2273
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN-247649
OH
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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