Individual
ANDREA MICHELLE VAN HOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11888 MCMANIS RD, MOUNT VERNON, OH 43050-9253
(740) 501-4663
Mailing address
33 W COLLEGE ST, FREDERICKTOWN, OH 43019-1040
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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