Individual
VICKY LYNN LANDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 CATALPA PL, MARYSVILLE, OH 43040-1307
(937) 707-9040
Mailing address
828 CATALPA PL, MARYSVILLE, OH 43040-1307
(937) 707-9040
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
2862335
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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