Individual
MRS. DONNA SUE BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NON-AGENCY PROVIDER
Contact information
Practice address
68205 COMMERCIAL DR, APT. H2, BRIDGEPORT, OH 43912-1566
(740) 633-0258
Mailing address
63321 S JOHNSON RD, BETHESDA, OH 43719-9703
(740) 484-1180
(740) 484-1180
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DOES NOT APPLY
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284880
—
OH
Enumeration date
08/11/2006
Last updated
07/09/2007
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