Individual
ASHA FAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 SUZANNE DR, TOLEDO, OH 43612-4331
(419) 932-1130
Mailing address
6012 SUZANNE DR, TOLEDO, OH 43612-4331
(419) 932-1130
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
485535
OH
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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