Individual
MARY GOTLIEBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12065 NICKI LN, CHARDON, OH 44024-8941
(440) 867-5348
Mailing address
12065 NICKI LN, CHARDON, OH 44024-8941
(440) 867-5348
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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