Individual
DEBRA LYNN KELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AID
Contact information
Practice address
4120 EUCLID BLVD, YOUNGSTOWN, OH 44512-1305
(330) 623-1716
Mailing address
4120 EUCLID BLVD, YOUNGSTOWN, OH 44512-1305
(330) 623-1716
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0058689
OH
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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