Individual
NICOLE ANNE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 INDIAN RIDGE TRL, ROSSFORD, OH 43460-1510
(419) 973-1286
Mailing address
519 INDIAN RIDGE TRL, ROSSFORD, OH 43460-1510
(419) 973-1286
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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