Individual
EXXERICA CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 E BUCYRUS ST, CRESTLINE, OH 44827-1502
(419) 689-0557
Mailing address
262 E BUCYRUS ST, CRESTLINE, OH 44827-1502
(419) 689-0557
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
601591230221
OH
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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