Individual
MALYNDA MARIE CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7937 VAN WERT WILLSHIRE RD APT SUITE, VAN WERT, OH 45891-8959
(419) 203-1035
Mailing address
7937 VAN WERT WILLSHIRE RD APT SUITE, VAN WERT, OH 45891-8959
(419) 203-1035
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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