Individual
MARY ANNE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 CONDO CT, LEBANON, OH 45036-9555
(937) 671-2779
Mailing address
207 CONDO CT, LEBANON, OH 45036-9555
(937) 671-2779
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219040
—
OH
Enumeration date
12/07/2020
Last updated
12/07/2020
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