Individual
CHARITY ANN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 JASON LN, LONDONDERRY, OH 45647
(740) 260-8715
Mailing address
37 JASON LN, LONDONDERRY, OH 45647-9717
(740) 260-8715
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
7102530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222603
—
OH
Enumeration date
06/08/2017
Last updated
07/21/2022
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