Individual
MS. MAXINE MARY MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6838 HUBBARD DR, HUBER HEIGHTS, OH 45424-3562
(917) 331-2719
Mailing address
6838 HUBBARD DR, HUBER HEIGHTS, OH 45424-3562
(917) 331-2719
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448664
—
OH
Enumeration date
11/17/2022
Last updated
11/17/2022
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