Individual
MICHELE J DEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 LARKSPUR DR, TIPP CITY, OH 45371-1267
(937) 308-7767
Mailing address
735 LARKSPUR DR, TIPP CITY, OH 45371-1267
(937) 308-7767
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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