Individual
MEILSSA A HASELROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
949 WESTLAND DR, MEDINA, OH 44256-1430
(213) 908-4388
Mailing address
949 WESTLAND DR, MEDINA, OH 44256-1430
(213) 908-4388
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9999999
—
OH
Enumeration date
10/19/2022
Last updated
10/19/2022
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