Individual
KELLY JEAN MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68200 JENNY LYNN DR, BELMONT, OH 43718-9444
(740) 381-1647
Mailing address
68200 JENNY LYNN DR, BELMONT, OH 43718-9444
(740) 381-1647
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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