MICHELLE RUTH FORMICK

STREETSBORO, OH
NPI1336358456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  2638257)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- MICHELLE RUTH FORMICK
748 DIANE AVE
STREETSBORO, OH 44241-4720
Phone number: 330-653-9073
Mailing Address
-- MICHELLE RUTH FORMICK
748 DIANE AVE
STREETSBORO, OH 44241-4720
Phone number: 330-653-9073
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