Individual
MS. MONICA SUE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
516 FLEMING FALLS RD, MANSFIELD, OH 44905-1207
(419) 566-2645
Mailing address
516 FLEMING FALLS RD, MANSFIELD, OH 44905
(419) 566-2645
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
378729390100
OH
372600000X
Adult Companion
378729390100
OH
374U00000X
Home Health Aide
378729390100
OH
376K00000X
Nurse's Aide
Primary
378729390100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378729390100
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
08/11/2010
Last updated
08/11/2010
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