Individual
MACSELINE MBINGLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3182 ROESCH BLVD APT 4, FAIRFIELD, OH 45014-7035
(262) 330-2041
Mailing address
3182 ROESCH BLVD APT 4, FAIRFIELD, OH 45014-7035
(262) 302-0415
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
VU231768
—
253Z00000X
In Home Supportive Care Agency
324968000624
OH
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
324968000624
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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