Individual
JOY MARIA FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 BEATTY AVE, RICHWOOD, OH 43344-1006
(937) 243-6486
Mailing address
118 BEATTY AVE, RICHWOOD, OH 43344-1006
(937) 243-6486
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8002360
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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