Individual
LARISSA L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
682 JAMES RD, BLANCHESTER, OH 45107-8230
(937) 728-7765
Mailing address
682 JAMES RD, BLANCHESTER, OH 45107-8230
(937) 728-7765
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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