Individual
ABIGAIL GENE LIVERMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6617 US HIGHWAY 20, WAKEMAN, OH 44889-9277
(440) 420-8799
Mailing address
6617 US HIGHWAY 20, WAKEMAN, OH 44889-9277
(440) 420-8799
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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