Individual
MEGAN RENEE FOTHERINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 SR 44, ATWATER, OH 44201
(330) 809-5290
Mailing address
15553 GREENBOWER ST N.E., ALLIANCE, OH 44601
(330) 257-9763
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171312
—
OH
Enumeration date
02/11/2019
Last updated
02/11/2019
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