Susan Linda Blum

NPI #1487362372 in Creston, Ohio

Provider Information

NPI Number: 1487362372
Entity Type: Individual
Name: Susan Linda Blum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Nov 9, 2022
Last Updated: Nov 9, 2022

Practice Location

Address: 71 SHAWNEE LN
City: Creston
State: Ohio
ZIP Code: 44217-9631
Phone: (330) 714-5085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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