Individual
INEZ BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60512 BOLAR RD, MC ARTHUR, OH 45651-8641
(740) 601-1019
Mailing address
60512 BOLAR RD, MC ARTHUR, OH 45651-8641
(740) 601-1019
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RG237115
OH
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163475
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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