Individual
ANTOINETTA EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 INDIANA AVE, TOLEDO, OH 43607-2038
(419) 242-5893
Mailing address
937 INDIANA AVE, TOLEDO, OH 43607-2038
(419) 242-5893
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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