Individual
DATAR MARCELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 EAGLE BLVD, MAINEVILLE, OH 45039-3505
(330) 282-2796
Mailing address
1375 EAGLE BLVD, MAINEVILLE, OH 45039-3505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
175812
OH
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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