Individual
SUSANNE D ELSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 TYLER ST, PORT CLINTON, OH 43452-2140
(419) 732-2777
Mailing address
714 CLINTON ST, PORT CLINTON, OH 43452-2116
(419) 341-0294
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/15/2020
Last updated
11/18/2020
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