Individual
GWENDLEON MASSIE-KOWALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 MAYFIELD DR, MARION, OH 43302-7807
(740) 262-3572
Mailing address
511 MARY ST, MARION, OH 43302-2235
(740) 360-9360
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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