Individual
DEBORAH STAATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 POPLAR LN, MARIETTA, OH 45750-8907
(740) 350-4868
Mailing address
1420 BRAUN RD, BELPRE, OH 45714-8273
(740) 423-5239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145539
INDEPENDENT PROVIDER
OH
Enumeration date
05/15/2007
Last updated
07/08/2007
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