Individual
LYNDA POUPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12447 S RIVER RD, GRAND RAPIDS, OH 43522-9604
(419) 654-7070
Mailing address
12447 S RIVER RD, GRAND RAPIDS, OH 43522-9604
(419) 654-7070
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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