Individual
MARY JO FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 WOOD DR, LITTLE HOCKING, OH 45742-9711
(304) 482-8542
Mailing address
23 WOOD DR, LITTLE HOCKING, OH 45742-9711
(304) 482-8542
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8400804
—
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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