Individual
SUSAN OBHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LENOX NEW LYME RD TRLR 49, JEFFERSON, OH 44047-9562
(440) 645-0339
Mailing address
1600 LENOX NEW LYME RD TRLR 49, JEFFERSON, OH 44047-9562
(440) 645-0339
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401982800717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348586
—
OH
Enumeration date
11/30/2019
Last updated
11/30/2019
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