Individual
MARY FAITH LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5517 S MADISON RD, MADISON, OH 44057-9539
(440) 298-1914
Mailing address
5517 S MADISON RD, MADISON, OH 44057-9539
(440) 298-1914
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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