Individual
MARY MARIE TIECHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-1000
Mailing address
810 QUINBY AVE, WOOSTER, OH 44691-2849
(330) 347-3996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0037908
OH
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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