Individual
MRS. DONNA FAYE HARDYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3489 RIDGETON ROAD, BUCYRUS, OH 44820-9109
(419) 563-0797
Mailing address
3489 RIDGETON ROAD, BUCYRUS, OH 44820-9109
(419) 563-0797
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417058
—
OH
Enumeration date
07/03/2007
Last updated
07/08/2007
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