Individual
SUSAN LINDA BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 SHAWNEE LN, CRESTON, OH 44217-9631
(330) 714-5085
Mailing address
669 OAK CT APT 1, LODI, OH 44254-1239
(570) 229-4645
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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