Individual
BETTIE MADDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 SAWMILL PLACE BLVD, COLUMBUS, OH 43235-5198
(614) 726-9165
Mailing address
7734 LARCH LN, DUBLIN, OH 43016-7741
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079003
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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