Individual
COURTNEY MAE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
Mailing address
209 S MAIN ST, OHIO CITY, OH 45874-8900
(419) 203-4022
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
138195
OH
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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