Individual
FETIMA VOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 WOODBINE AVE SE, WARREN, OH 44484-4263
(240) 855-4767
Mailing address
760 WOODBINE AVE SE, WARREN, OH 44484-4263
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
0098046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098046
—
OH
Enumeration date
06/11/2014
Last updated
06/11/2014
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