Individual
DEIDRA MONIQUE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N WATER ST, GEORGETOWN, OH 45121-1140
(937) 515-6430
Mailing address
412 N WATER ST, GEORGETOWN, OH 45121-1140
(937) 515-6430
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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