Individual
MARY ANN PRIDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 E FOREST ST, CLYDE, OH 43410-2147
(567) 230-3733
Mailing address
157 E FOREST ST, CLYDE, OH 43410-2147
(567) 230-3733
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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