Individual
ANDREA BAUMBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23669 2ND ST, GRAND RAPIDS, OH 43522-9744
(419) 779-7692
Mailing address
23669 2ND ST, GRAND RAPIDS, OH 43522-9744
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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