Individual
KIMBERLY-SUN RENEE BALOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
362 JENNINGS AVE APT B, MANSFIELD, OH 44907-1486
(567) 303-4659
Mailing address
362 JENNINGS AVE APT B, MANSFIELD, OH 44907-1486
(567) 303-4659
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401730170315
OH
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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