Individual
ELIZABETH NICOLE ISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9606 E TOWNSHIP ROAD 148, REPUBLIC, OH 44867-9621
(419) 618-0722
Mailing address
9606 E TOWNSHIP ROAD 148, REPUBLIC, OH 44867-9621
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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