Individual
MARY A BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6590 FAIRWEATHER DR, MIDDLEBURG HEIGHTS, OH 44130-2853
(216) 671-4161
Mailing address
6590 FAIRWEATHER DR, MIDDLEBURG HEIGHTS, OH 44130-2853
(216) 671-4161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
12/29/2020
Last updated
02/16/2021
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