Individual
MICHELLE ELIZABETH MAYLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
11088 DOLPHIN ST SW, BEACH CITY, OH 44608-9762
(330) 756-0845
(330) 756-0845
Mailing address
11088 DOLPHIN ST SW, BEACH CITY, OH 44608-9762
(330) 756-0845
(330) 756-0845
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7601741
PROVIDER NUMBER
OH
Enumeration date
06/05/2006
Last updated
07/08/2007
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