Individual
MARY HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7146 S TIPP COWLESVILLE RD, TIPP CITY, OH 45371-8335
(937) 623-7648
Mailing address
7146 S TIPP COWLESVILLE RD, TIPP CITY, OH 45371-8335
(937) 623-7648
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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