Individual
PATRICIA GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 BEAVER RD, GREENFIELD, OH 45123-8271
(937) 402-7423
Mailing address
8282 BEAVER RD, GREENFIELD, OH 45123-8271
(937) 402-7423
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3601409
—
OH
Enumeration date
11/03/2020
Last updated
11/03/2020
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