Individual
LISA MARIE MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 SUMMERS AVE, STREETSBORO, OH 44241-5827
(330) 842-2210
Mailing address
2130 SUMMERS AVE, STREETSBORO, OH 44241-5827
(330) 842-2210
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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