Individual
MRS. MICHELE DAWN WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3221 STATE ROUTE 139, PORTSMOUTH, OH 45662-8849
(740) 456-6537
Mailing address
3221 STATE ROUTE 139, PORTSMOUTH, OH 45662-8849
(740) 456-6537
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
370047420601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2636606
—
OH
Enumeration date
03/26/2007
Last updated
07/09/2007
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