Individual
COURTNY MARIE HENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 JEFFERSON ST APT 9, PORT CLINTON, OH 43452-1158
(567) 201-5174
Mailing address
239 JEFFERSON ST APT 9, PORT CLINTON, OH 43452-1158
(567) 201-5174
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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