Individual
SUZANNE LYNETTE RYERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 DITMER RD, LAURA, OH 45337
(937) 212-2535
Mailing address
3610 DITMER RD, LAURA, OH 45337
(937) 212-2535
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5505128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5505128
—
OH
Enumeration date
01/31/2021
Last updated
01/31/2021
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