Individual
MELISSA MARCANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 PAMLICO ST, COLUMBUS, OH 43228-2508
(330) 749-7334
Mailing address
430 PAMLICO ST, COLUMBUS, OH 43228-2508
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026746
—
OH
Enumeration date
09/08/2014
Last updated
09/08/2014
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