Individual
ANNA FAYE DECK-FREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 CATALINA DR, A3, NEWARK, OH 43055-4688
(740) 975-3057
Mailing address
504 CATALINA DR, A3, NEWARK, OH 43055-4688
(740) 975-3057
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092837
—
OH
Enumeration date
06/07/2007
Last updated
07/08/2007
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