Individual
SUSAN MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36780 FAIRVIEW ST, BARNESVILLE, OH 43713-9697
(740) 425-1854
Mailing address
36780 FAIRVIEW ST, BARNESVILLE, OH 43713-9697
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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