Individual
MARY E TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
214 W WARREN ST, CADIZ, OH 43907-1163
(614) 313-0606
Mailing address
214 W WARREN ST, CADIZ, OH 43907-1163
(614) 313-0606
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
401079110510
OH
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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