Individual
BETH ELAINE HANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 JEFFERS RD LOT 81, GRAND RAPIDS, OH 43522-9633
(419) 966-7547
Mailing address
11900 JEFFERS RD LOT 81, GRAND RAPIDS, OH 43522-9633
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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