Individual
MERISSA S MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11170 STATE ROUTE 771, LEESBURG, OH 45135-9394
(937) 344-1668
Mailing address
11170 STATE ROUTE 771, LEESBURG, OH 45135-9394
(937) 344-1668
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401054190310
OH
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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