Individual
LISA BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7471 ROLLER RD, SALEM, OH 44460-9288
(330) 360-0772
Mailing address
7471 ROLLER RD, SALEM, OH 44460-9288
(330) 360-0772
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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