Individual
CASSANDRA GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2676 COUNTY ROAD 195, CLYDE, OH 43410-9549
(419) 603-1302
Mailing address
142 LIBERTY ST, CLYDE, OH 43410-1807
(419) 202-9693
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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