Individual
ELISABETH NICOLE GUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6761 LIMA ST, HUNTSVILLE, OH 43324
(559) 397-1417
Mailing address
P.O BOX 52, BELLEFONTAINE, OH 43311
(559) 397-1417
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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