Individual
MARY LOUISE PERYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S SANDUSKY ST LOT 65, DELAWARE, OH 43015-2660
(630) 788-5766
Mailing address
225 S SANDUSKY ST LOT 65, DELAWARE, OH 43015-2660
(630) 788-5766
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0212441
OH
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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