Individual
MS. MARY B PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
145 S CHESTNUT ST, JEFFERSON, OH 44047-1312
(440) 813-1207
Mailing address
145 S CHESTNUT ST, JEFFERSON, OH 44047-1312
(440) 813-1207
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN142674
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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