Individual
MELODY RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 SHARPLESS CT, MARION, OH 43302-3105
(740) 360-6517
Mailing address
149 SHARPLESS CT, MARION, OH 43302-3105
(740) 360-6517
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
511495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5101495
—
OH
Enumeration date
09/24/2020
Last updated
10/15/2020
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