Individual
ANDREA JEAN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
16490 TOWNSHIP ROAD 217, MOUNT VICTORY, OH 43340-8826
(937) 354-3277
Mailing address
16490 TOWNSHIP ROAD 217, MOUNT VICTORY, OH 43340-8826
(937) 354-3277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R.N.143752
OH
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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