Individual
HELEN BOUILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2982 COUNTY ROAD D, SWANTON, OH 43558-9055
(419) 825-1675
Mailing address
2982 COUNTY ROAD D, SWANTON, OH 43558-9055
(419) 825-1675
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102629907199
AETNA BETTER HEALT OF OHIO
OH
Enumeration date
12/15/2014
Last updated
12/15/2014
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