Individual
NETENIA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5751 RYEWYCK DR APT 4, TOLEDO, OH 43614-4540
(567) 315-5991
Mailing address
5751 RYEWYCK DR APT 4, TOLEDO, OH 43614-4540
(567) 315-5991
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
6028000060324
OH
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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