Individual
CONNIE SUE HANSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11156 SMOKY ROW RD, GEORGETOWN, OH 45121-8214
(937) 378-6683
Mailing address
11099 SMOKY ROW RD, GEORGETOWN, OH 45121-9528
(937) 378-4961
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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