Individual
CAMBRIE MIN - JEE GREEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
(614) 849-2653
Mailing address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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