Individual
MELISSA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E MAIN ST, FAYETTE, OH 43521-9790
(419) 944-1071
Mailing address
401 E MAIN ST, FAYETTE, OH 43521-9790
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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