Individual
ALEXIS M LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 10TH ST, ELYRIA, OH 44035-7031
(440) 219-2455
Mailing address
320 10TH ST, ELYRIA, OH 44035-7031
(440) 219-2455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363908
—
OH
Enumeration date
10/02/2020
Last updated
10/05/2020
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