Marcus Mccullum

NPI #1154019537 in Fairfield, Ohio

Provider Information

NPI Number: 1154019537
Entity Type: Individual
Name: Marcus Mccullum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 25, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 2064 ROBIN AVE
City: Fairfield
State: Ohio
ZIP Code: 45014-5744
Phone: (513) 404-7504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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