Individual
THERESA MYADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 CHARLESWORTH DR, HUBER HEIGHTS, OH 45424-3256
(937) 236-2177
Mailing address
7300 CHARLESWORTH DR, HUBER HEIGHTS, OH 45424-3256
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/17/2020
Last updated
09/18/2020
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