Individual
TAMARA MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9938 COUNTY ROAD 150, KENTON, OH 43326-9481
(937) 441-0630
Mailing address
7594 COUNTY ROAD 91, LEWISTOWN, OH 43333-9729
(937) 441-0630
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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