Individual
PENELOPE J MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 LOWER TWIN CREEK RD, BLUE CREEK, OH 45616
(740) 727-4998
Mailing address
912 LOWER TWIN CREEK RD, BLUE CREEK, OH 45616-9024
(740) 727-4998
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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