Individual
BETHANY MIRKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 RUSSELL RD, OSTRANDER, OH 43061-9406
(740) 666-2222
Mailing address
3000 RUSSELL RD, OSTRANDER, OH 43061-9406
(740) 666-2222
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
11/15/2020
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