Individual
SANDRA D COVARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 CLARK ST, TOLEDO, OH 43605-2211
(419) 410-7633
Mailing address
PO BOX 167301, OREGON, OH 43616-7301
(419) 410-7633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
347C00000X
Private Vehicle
—
OH
376J00000X
Homemaker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426164
—
OH
Enumeration date
01/06/2021
Last updated
01/06/2021
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