Individual
CATHERINE MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 MACENROE DR, BLACKLICK, OH 43004-9338
(614) 648-1005
Mailing address
159 MACENROE DR, BLACKLICK, OH 43004-9338
(614) 648-1005
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
M4503648
OH
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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