Individual
MARSHA K STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 CO. RD. 5, PEDRO, OH 45659-9074
(740) 643-1910
(740) 643-1910
Mailing address
6525 CO. RD. 5, PEDRO, OH 45659-9074
(740) 643-1910
(740) 643-1910
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2646551
—
OH
Enumeration date
03/22/2007
Last updated
07/08/2007
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