Individual
DONNA LEVECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9072 OTSEGO PIKE, RUDOLPH, OH 43462-9748
(419) 601-2390
Mailing address
9072 OTSEGO PIKE, RUDOLPH, OH 43462-9748
(419) 601-2390
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3064642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064642
—
OH
Enumeration date
04/19/2015
Last updated
04/19/2015
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