Individual
ELIZABETH JOLENE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 COUNTY ROAD 411 APT 502, PROCTORVILLE, OH 45669-7004
(304) 896-2371
Mailing address
784 COUNTY ROAD 411 APT 502, PROCTORVILLE, OH 45669-7004
(304) 896-2371
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
06/23/2021
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