Individual
BARBARA JANE MADACHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MEADOWLANDS DR APT B1, CHARDON, OH 44024-9378
(330) 631-5080
Mailing address
14845 HOOVER RD, GARRETTSVILLE, OH 44231-9556
(330) 631-5080
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M2800900
—
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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