Individual
MICHELLE AJAMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14100 MILL CREEK RD, MILLFIELD, OH 45761-9615
(740) 590-1501
Mailing address
PO BOX 2322, ATHENS, OH 45701-5122
(740) 590-1501
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2790743
—
OH
Enumeration date
12/31/2020
Last updated
12/31/2020
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