Individual
CONNIE S RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14053 HENNE RD, SPENCERVILLE, OH 45887-9129
(419) 647-6504
Mailing address
14053 HENNE RD, SPENCERVILLE, OH 45887-9129
(419) 647-6504
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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