Individual
MRS. DELERISA JANET BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH CARE
Contact information
Practice address
16507 CLEMENTS RD, MOUNT ORAB, OH 45154-9765
(937) 444-3596
(937) 444-3596
Mailing address
16507 CLEMENTS RD, MOUNT ORAB, OH 45154-9765
(937) 444-3596
(937) 444-3596
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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