Individual
MARIE NEILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 MINER DR, BRUNSWICK, OH 44212-2739
(440) 453-2895
Mailing address
4050 MINER DR, BRUNSWICK, OH 44212-2739
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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