Individual
DONNA IRENE GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9714 STATE ROUTE 93, PEDRO, OH 45659-8949
(740) 307-6090
Mailing address
9714 STATE ROUTE 93, PEDRO, OH 45659-8949
(740) 307-6090
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2712087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712087
—
OH
Enumeration date
03/01/2021
Last updated
03/01/2021
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