Individual
MRS. ANNIE ALISSA MAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14025 DEFIANCE PIKE, RUDOLPH, OH 43462-9718
(419) 601-8244
Mailing address
14025 DEFIANCE PIKE, RUDOLPH, OH 43462-9718
(419) 601-8244
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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