Individual
PETER J MUTNANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 CHURCH ST, KIPTON, OH 44049-0095
(440) 935-3118
Mailing address
PO BOX 95, KIPTON, OH 44049-0095
(440) 935-3118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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