Individual
MRS. MARY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24366 BUSHBY RD, SOUTH BLOOMINGVILLE, OH 43152-9712
(740) 332-1549
Mailing address
24366 BUSHBY RD, SOUTH BLOOMINGVILLE, OH 43152-9712
(740) 332-1549
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
338989
OH
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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