Individual
MRS. DENISE LYNN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9329 INFIRMARY RD LOT B121, MANTUA, OH 44255-9005
(330) 931-1012
Mailing address
9329 INFIRMARY RD LOT B121, MANTUA, OH 44255-9005
(330) 931-1012
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT927544
DRIVER LICENSE
OH
Enumeration date
02/03/2021
Last updated
02/03/2021
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