Individual
MARISSA ROSE HERGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 475-4449
Mailing address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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