Individual
TERA E MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W STATE ST STE 201, FREMONT, OH 43420-2577
(567) 201-2929
Mailing address
416 W STATE ST OFC 201202, FREMONT, OH 43420-2577
(567) 280-6124
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/27/2019
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