Individual
ANITA L MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10851 ROAD 230, CECIL, OH 45821-9307
(419) 399-3444
(419) 782-3618
Mailing address
10851 ROAD 230, CECIL, OH 45821-9307
(419) 399-3444
(419) 782-3618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028819
OH
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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