Individual
MRS. DAWN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52293 TWP RD 186, FRESNO, OH 43824-9776
(740) 545-9084
Mailing address
52293 TWP RD 186, FRESNO, OH 43824-9776
(740) 545-9084
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2269450
OH
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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