Individual
MARISSA ELIFRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 LAWRENCE DR SW, CARROLLTON, OH 44615-9295
(330) 932-9645
Mailing address
380 LAWRENCE DR SW, CARROLLTON, OH 44615-9295
(330) 932-9645
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106326677799
—
OH
Enumeration date
09/16/2022
Last updated
09/16/2022
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