Individual
ELIZABETH MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4973 LAVA CT, MASON, OH 45040-1885
(513) 477-8408
Mailing address
4973 LAVA CT, MASON, OH 45040-1885
(513) 477-8408
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8305192
—
OH
Enumeration date
02/02/2021
Last updated
02/02/2021
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