Individual
MICHELE LEONA GRISOLONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 475-4449
Mailing address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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